Mr of Amboy LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061201 Issued in NJ

Legal business name

MR OF AMBOY LLC

Doing business as

Amboy Care Center

Practice address

1 Lindberg Ave
Perth Amboy, NJ 08861-1841

Phone

(732) 826-0500

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fischel Rispler

Title

Member

Phone

(201) 488-6789

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amboy Care Center Doing business as

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982638599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "address_2": "SUITE 206",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016201",
            "telephone_number": "201-488-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINDBERG AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088611841",
            "telephone_number": "732-826-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR OF AMBOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RISPLER",
        "authorized_official_first_name": "FISCHEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-488-6789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4484908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amboy Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.