Organization Active NPI

Vision Riverside Assisted Living LLC

  • Assisted Living Facility
  • Old Bridge, NJ
National Provider Identifier
1982438339
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VISION RIVERSIDE ASSISTED LIVING LLC
Practice address
105 Old Matawan Rd
Old Bridge, NJ 08857-1457
Phone
(908) 872-1237
NPI assigned
Aug 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Mr. William Zengerle, LNHA
Title
Executive Director
Phone
(908) 872-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

105 Old Matawan Rd
Old Bridge, NJ 08857-1457

Mailing address

3996 County Road 516 Ste 106
Matawan, NJ 07747-7081
Phone (908) 872-1237

Other names 1

  • Vision Stream Assisted Living Old Bridge NJ Other name

National Provider Directory

National Provider Directory
Tax ID family
Vision Riverside Assisted Living 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.

Locations

3996 County Road 516
Ste 106
Matawan, NJ 07747

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1982438339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 COUNTY ROAD 516 STE 106",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477081",
            "telephone_number": "908-872-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 OLD MATAWAN RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571457",
            "telephone_number": "908-872-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION RIVERSIDE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "ZENGERLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-872-1237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Stream Assisted Living Old Bridge NJ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.