Organization Active NPI

Matawan SNF Operations LLC

  • Nursing Facility/Intermediate Care Facility
  • Matawan, NJ
National Provider Identifier
1952168296
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Mar 4, 2024

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.