South Mountain Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH MOUNTAIN OPERATOR LLC

Practice address

141 S Main St
Boonsboro, MD 21713-1203

Phone

(301) 432-5457

NPI assigned

Sep 11, 2017

Last updated

Sep 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Jakobovits

Title

Manager

Phone

(732) 779-1030

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farid Murshed, MD

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1366483323
  NPD (past)
• Muhammad K Waseem, MD

  • Internal Medicine Physician
  • Hagerstown, MD
  • NPI 1184665143
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1952820987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 KERSEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023054",
            "telephone_number": "410-207-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MAIN ST",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131203",
            "telephone_number": "301-432-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MOUNTAIN OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "JAKOBOVITS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-779-1030"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron M. Smith, PTA
• Stephanie A Snyder, LCADC
• South Mountain Community Health LLC
• South Mountain Family Practice LLC
• South Mountain Operator LLC
• Spring Ridge Chiropractic of Boonsboro LLC
• Still Water Counseling Services, LLC
• Synergy Medical Group LLC
• Rebecca Targoff, FNP-BC
• Charles Augustus Thatcher III

• Skilled Nursing Facility in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.