Strategic Long Term Care of New Jersey at Delaire LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

062017 Issued in NJ

Legal business name

STRATEGIC LONG TERM CARE OF NEW JERSEY AT DELAIRE LLC

Doing business as

Delaire Nursing and Conv. Ctr

Practice address

400 W Stimpson Ave
Linden, NJ 07036-4434

Phone

(908) 862-3399

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

John Pilek

Title

Lnha

Phone

(908) 862-3399

Specialties & licenses 1

Addresses

Other identifiers 11

Other names 1

• Delaire Nursing and Conv. Ctr Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Strategic Long Term Care of New Jersey at Delaire LLC

  dba Delaire Gardens

  • Assisted Living Facility
  • Linden, NJ
  • NPI 1922434158
  NPPES parent name

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1902892359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W STIMPSON AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364434",
            "telephone_number": "908-862-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W STIMPSON AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364434",
            "telephone_number": "908-862-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC LONG TERM CARE OF NEW JERSEY AT DELAIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "PILEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LNHA",
        "authorized_official_telephone_number": "908-862-3399"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "062017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60009731",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "92649",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033626",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (TRADITIONAL)",
            "identifier": "4422127",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS (SKILLED)",
            "identifier": "315200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "UN000012000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4504909",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (HMO)",
            "identifier": "2884135",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A420707",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS (SUBACUTE)",
            "identifier": "001162",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE OF NJ",
            "identifier": "12243",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaire Nursing and Conv. Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dora Srour, OTR/L
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• Steven M. Ferrer MD PC
• Sharon C Stewart, APN
• Strategic Long Term Care of New Jersey at Delaire LLC (Delaire Gardens)
• Sviatlana Stsiatsevich, DDS
• Richard Sufficool, DMD
• Sufi LLC (Unique Family Dentistry)
• Fawzi A Suliaman, M.D.

• Skilled Nursing Facility in Linden, NJ
• Providers in Linden, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.