Active NPI
Matawan SNF Operations LLC
- Nursing Facility/Intermediate Care Facility
- Matawan, NJ
National Provider Identifier
1952168296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- MATAWAN SNF OPERATIONS LLC
- Practice address
- 38 Freneau Ave
Matawan, NJ 07747-3323 - Phone
- (732) 765-5600
- NPI assigned
- Mar 4, 2024
- 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
- Pinchos Bak
- Title
- President
- Phone
- (908) 783-3110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
38 Freneau Ave
Matawan, NJ 07747-3323
Mailing address
38 Freneau Ave
Matawan, NJ 07747-3323
Phone (732) 765-5600
National Provider Directory
National Provider Directory- Tax ID family
- Matawan SNF Operations LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Matawan, NJ
- NPI 1548971765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1952168296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 FRENEAU AVE",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473323",
"telephone_number": "732-765-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 FRENEAU AVE",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473323",
"telephone_number": "732-765-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATAWAN SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "BAK",
"authorized_official_first_name": "PINCHOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-783-3110"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.