Burnt Tavern Rehabilitation and Health Care Ctr a L

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ZBBGDW Issued in NJ

Legal business name

BURNT TAVERN REHABILITATION AND HEALTH CARE CTR A L

Practice address

1049 Burnt Tavern Rd
Brick, NJ 08724-1967

Phone

(732) 840-3700

NPI assigned

Nov 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas Kreil

Title

Administrator

Phone

(732) 840-3700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1861898868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241967",
            "telephone_number": "732-840-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BURNT TAVERN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087241967",
            "telephone_number": "732-840-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNT TAVERN REHABILITATION AND HEALTH CARE CTR A L",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "KREIL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-840-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "ZBBGDW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Burlew, RPH
• Kristin Burnham
• Amy Burns, LCSW
• Donna Lee Burns, R PH
• Burnt Tavern Rehabilitation and Health Care Ctr
• Esther Bursztyn
• Daniel Todd Burzon, MD
• Anthony John Bussanich, M.D.
• Joseph Peter Buttacavoli, D.M.D.
• Marc Buttacavoli, DMD

• Assisted Living Facility in Brick, NJ
• Providers in Brick, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.