521 PINE BROOK OPERATING, LLC (NPI# 1306182159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306182159 |
| Entity Type | Organization |
| Organization Name | 521 PINE BROOK OPERATING, LLC |
| Other Organization Name | LINCOLN PARK RENAISSANCE |
| Practice Address |
521 Pine Brook Rd Lincoln Park NJ 07035-1801 |
| Mailing Address |
499 Pine Brook Rd Lincoln Park NJ 07035-1804 |
| Practice Telephone | 9736963300 |
| Mailing Telephone | 9736963300 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Authorized Official Name | CHARLES-EDOUARD GROS (MANAGING MEMBER) |
| Authorized Official Telephone | 9736963300 |
| Is Organization Subpart | Y |
| Parent Organization Name | 521 PINE BROOK VENTURES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 061408 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01216893 | 05 | |
| NJ | 4491904 | 05 |
| Other Name | Type Code |
|---|---|
| Lincoln Park Renaissance | Doing Business As Name - Organization |
| Street Address |
521 PINE BROOK RD |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730142423 | Lincoln Park Renaissance Rehab. & Nursing Center LLC | Skilled Nursing Facility | 499 Pine Brook Rd, Lincoln Park, NJ 07035-1804 | 2006-04-11 |
| 1689910432 | 499 Pine Brook Operating, LLC | Skilled Nursing Facility | 499 Pine Brook Rd, Lincoln Park, NJ 07035-1804 | 2012-12-26 |
| 1134182934 | Lincoln Park Care Center LLC | Skilled Nursing Facility | 499 Pine Brook Rd, Lincoln Park, NJ 07035-1804 | 2006-04-11 |
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|---|---|---|---|---|
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| 1043847619 | Sycamore Rehabilitation and Assisted Living At East Hanover LLC | Skilled Nursing Facility | 1 S Ridgedale Ave, East Hanover, NJ 07936-3142 | 2020-03-24 |
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| 1891274197 | Crest Pointe Operator LLC | Skilled Nursing Facility | 1515 Hulse Road, Point Pleasant, NJ 08742 | 2018-08-08 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1588163539 | Sinam | Skilled Nursing Facility | 153 Virginia St, Hillside, NJ 07205-2805 | 2018-02-06 |
| 1841701117 | Hmh Residential Care, Inc | Skilled Nursing Facility | 1725 Meridian Trl, Wall Township, NJ 07719-3869 | 2017-10-13 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.