NPIMap

Organization Active NPI

Metropolitan Health Care Corporation

  • Adult Care Home Facility
  • Bayonne, NJ
National Provider Identifier
1952589152
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
408210 Issued in NJ
Legal business name
METROPOLITAN HEALTH CARE CORPORATION
Practice address
300 Broadway
Bayonne, NJ 07002-3518
Phone
(201) 243-0666
Fax
(201) 243-0016
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Ms. Jamie Inn, MA/CSW
Title
Administrator
Phone
(201) 243-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 408210 NJ Primary

Addresses

Primary practice location

300 Broadway
Bayonne, NJ 07002-3518

Mailing address

300 Broadway
Bayonne, NJ 07002-3518
Phone (201) 243-0666

Other identifiers 1

IdentifierTypeStateIssuer
0020788MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Life Core Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1952589152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023518",
            "telephone_number": "201-243-0666",
            "fax_number": "201-243-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023518",
            "telephone_number": "201-243-0666",
            "fax_number": "201-243-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "INN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-243-0666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA/CSW"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": "408210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020788",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.