Lincoln Park Hospice

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

23120 Issued in NJ

Legal business name

LINCOLN PARK HOSPICE

Practice address

61 Beaverbrook Rd
Lincoln Park, NJ 07035-1750

Phone

(973) 696-2956

Fax

(973) 696-4539

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mimi Feliciano

Title

Ceo

Phone

(973) 696-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902869746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 PINE BROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351804",
            "telephone_number": "973-696-3300",
            "fax_number": "973-633-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BEAVERBROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351750",
            "telephone_number": "973-696-2956",
            "fax_number": "973-696-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-696-3300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NJ",
            "license": "23120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092291",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifestyle Nutrition
• Lincoln Commons Dental Assoc, PA
• Lincoln Park Board of Education
• Lincoln Park Care Center LLC
• Lincoln Park Health Department
• Lincoln Park Physical Therapy and Sports Rehabilitation, LLC
• Lincoln Park Renaissance Rehab. & Nursing Center LLC
• Diane Magee
• Sandra J Mainardi, PTA
• Melissa Marie Manning

• Inpatient Hospice in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Inpatient Hospice in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.