Active NPI
Windsor Gardens Care Center, Inc.
- Skilled Nursing Facility
- East Orange, NJ
National Provider Identifier
1932105376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060722
- Legal business name
- WINDSOR GARDENS CARE CENTER, INC.
- Practice address
- 140 Park Ave
East Orange, NJ 07017-5248 - Phone
- (973) 677-1500
- Fax
- (973) 677-1654
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Condorelli
- Title
- VP Finance & Census Development
- Phone
- (201) 767-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060722 | NJ | Primary |
Addresses
Primary practice location
140 Park Ave
East Orange, NJ 07017-5248
Mailing address
100 McClellen St
Norwood, NJ 07648-1555
Phone (201) 767-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4475909 | Medicaid | NJ |
Other names 1
- Garden State Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237248000000",
"number": "1932105376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCCLELLEN ST",
"city": "NORWOOD",
"state": "NJ",
"postal_code": "076481555",
"telephone_number": "201-767-0100",
"fax_number": "201-767-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 PARK AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070175248",
"telephone_number": "973-677-1500",
"fax_number": "973-677-1654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDSOR GARDENS CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2009-03-17",
"status": "A",
"authorized_official_last_name": "CONDORELLI",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "VP FINANCE & CENSUS DEVELOPMENT",
"authorized_official_telephone_number": "201-767-0100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "060722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4475909",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Garden State Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.