Organization Active NPI

Woodcliff Lake Health & Rehabiltation Center, LLC

  • Skilled Nursing Facility
  • Woodcliff Lake, NJ
National Provider Identifier
1962476705
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060221 Issued in NJ
Legal business name
WOODCLIFF LAKE HEALTH & REHABILTATION CENTER, LLC
Practice address
555 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8417
Phone
(201) 391-0900
Fax
(201) 391-1186
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Yaron Englestein, LNHA
Title
Administrator
Phone
(201) 391-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060221 NJ Primary

Addresses

Primary practice location

555 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8417

Mailing address

555 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8417
Phone (201) 391-0900

Other identifiers 1

IdentifierTypeStateIssuer
4463307MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Dellridge Health and Rehabilitation Cent3 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": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1962476705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778417",
            "telephone_number": "201-391-0900",
            "fax_number": "201-391-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778417",
            "telephone_number": "201-391-0900",
            "fax_number": "201-391-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODCLIFF LAKE HEALTH & REHABILTATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ENGLESTEIN",
        "authorized_official_first_name": "YARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-391-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4463307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.