Sunrise Third (Pool IV), LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0L9278 Issued in NJ

Legal business name

SUNRISE THIRD (POOL IV), LLC

Doing business as

Sunrise Assisted Living Of Marlboro

Practice address

3A S Main St
Marlboro, NJ 07746-1537

Phone

(732) 409-6665

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dawn Osterweil

Title

Executive Director

Phone

(732) 409-6665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise Assisted Living Of Marlboro Doing business as

Tax ID family

Sunrise Assisted Living of Marlboro2 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.

• Sunrise Third (Pool IV), LLC

  • Assisted Living Facility
  • Basking Ridge, NJ
  • NPI 1447304746
  NPD tax ID

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982750998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3A S MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461537",
            "telephone_number": "732-409-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3A S MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461537",
            "telephone_number": "732-409-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THIRD (POOL IV), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTERWEIL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-409-6665"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "0L9278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006327",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Assisted Living Of Marlboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Lace Steffey, NP
• Martin Stern, PSYD
• Jill Anne Strafaci
• Carolyn Ann Stubbs, LMT, NMT
• Bonnie M Sugarman, MA CCC-SLP
• Robert Szita, LPC
• Michael R. Tendler, M.D.
• Maria Tessinari
• Lijo Thomas, NNP
• Thrive Therapy Center

• Assisted Living Facility in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Assisted Living 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.