COMMUNITY HOSPITAL GROUP INC (NPI# 1487875480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487875480 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL GROUP INC |
| Other Organization Name | JFK HAVEN HOSPICE |
| Practice Address |
65 James St Edison NJ 08820-3947 |
| Practice Telephone | 7323217000 |
| Practice Fax Number | 7326321644 |
| Mailing Telephone | 7323217000 |
| Mailing Fax Number | 7326321644 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD C SMITH (CFO) |
| Authorized Official Telephone | 7323217000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 22664 | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5171601 | 05 |
| Other Name | Type Code |
|---|---|
| JFK HAVEN HOSPICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184847691 | Community Hospital Group Inc | Durable Medical Equipment & Medical Supplies | 308 Talmadge Rd, Edison, NJ 08817-2339 | 2007-04-11 |
| 1023224235 | Community Hospital Group Inc | Psychologist | 65 James St, Edison, NJ 08820-3947 | 2007-05-15 |
| 1225251754 | Community Hospital Group Inc | Specialist | 80 James St, 4th Floor, Edison, NJ 08820-3938 | 2007-04-11 |
| 1265509202 | Community Hospital Group Inc | Rehabilitation Practitioner | 65 James St, Edison, NJ 08820-3947 | 2006-11-28 |
| 1114932548 | Community Hospital Group Inc | Rehabilitation Hospital | 65 James St, Edison, NJ 08820-3947 | 2006-07-31 |
| 1659387975 | Community Hospital Group Inc | General Acute Care Hospital | 65 James St, Edison, NJ 08820-3947 | 2006-07-31 |
| Street Address |
65 JAMES ST |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559763 | Divya Gupta | Psychiatry & Neurology | 65 James St, Edison, NJ 08820-3947 | 2005-06-22 |
| 1073112199 | Katelynn Onulak | Registered Nurse | 65 James St, Edison, NJ 08820-3947 | 2020-10-20 |
| 1609481308 | Gladwin Kemunto Omare | Nurse Practitioner | 65 James St, Edison, NJ 08820-3947 | 2020-09-10 |
| 1457979619 | Marc Habib | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-07-13 |
| 1588281935 | Mary Christine Fahmy | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-07-01 |
| 1629693080 | Shivam Mukul Patel | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-06-11 |
| 1366065799 | Joshua Haimi | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-20 |
| 1598387177 | Pujitha Talasila | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-17 |
| 1639791635 | Alycia Chinai | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-12 |
| 1316569452 | Samuel Uzosike | Student in an Organized Health Care Education/Training Program | 65 James St, Edison, NJ 08820-3947 | 2020-05-12 |
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|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
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| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
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| 1538185830 | Grace Healthcare Services LLC | Hospice Care, Community Based | 105 Fieldcrest Ave Ste 402, Edison, NJ 08837-3628 | 2006-07-14 |
| 1477589638 | Caring Hospice of Central Jersey LLC | Hospice Care, Community Based | 1090 King Georges Post Rd, Ste 703, Edison, NJ 08837 | 2006-06-22 |
| 1932763091 | Hmh Residential Care, Inc | Hospice Care, Community Based | 65 James St, Edison, NJ 08820-3947 | 2019-04-24 |
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| 1760027148 | Ap Healing Hands Home Care, Corp. | Hospice Care, Community Based | 424 Cooper St Unit 3, Beverly, NJ 08010-3439 | 2019-11-09 |
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| 1720541071 | Lhcg Cxliv, LLC | Hospice Care, Community Based | 6550 Delilah Rd Ste 210, Egg Harbor Township, NJ 08234-5102 | 2019-04-12 |
| 1619434487 | Life Choice Hospice of New Jersey, LLC | Hospice Care, Community Based | 45 Eisenhower Dr Ste 240, Paramus, NJ 07652-1452 | 2019-02-27 |
| 1316441108 | Liberty Career Service Inc | Hospice Care, Community Based | 3000 John F Kennedy Blvd Ste 310, Jersey City, NJ 07306-3817 | 2018-03-19 |
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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.