Newark Extended Care Facility, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060713 Issued in NJ

Legal business name

NEWARK EXTENDED CARE FACILITY, INC.

Practice address

65 Jay St
Newark, NJ 07103-3235

Phone

(973) 483-6800

Fax

(973) 483-1841

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Paneth, LNHA

Title

Administrator

Phone

(973) 483-6800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1902895501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JAY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033235",
            "telephone_number": "973-483-6800",
            "fax_number": "973-483-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033235",
            "telephone_number": "973-483-6800",
            "fax_number": "973-483-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK EXTENDED CARE FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "PANETH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-483-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4476204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Newark Community Street Team, Inc.
• Newark Counseling Center
• Newark Dental Spa LLC
• Newark Diagnostic Radiologists, PA
• Newark Extended Care Facility Inc
• Newark Extened Care Facility Inc
• Newark Health Care
• Newark Imaging Corp.
• Newark Med Imaging Corp.
• Newark Medical Associates

• Skilled Nursing Facility in Newark, NJ
• Providers in Newark, 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 Dec 30, 2008; 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.