JEWISH HOME AT ROCKLEIGH (NPI# 1104965615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104965615 |
| Entity Type | Organization |
| Organization Name | JEWISH HOME AT ROCKLEIGH |
| Practice Address |
10 Link Dr Rockleigh NJ 07647-2504 |
| Practice Telephone | 2017841414 |
| Practice Fax Number | 2017504266 |
| Mailing Telephone | 2017841414 |
| Mailing Fax Number | 2017504266 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | MRS. SUNNI HERMAN (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2017504236 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | JZ24OP | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | WELLCOICE NEW JERSEY ID | 025304 | 01 |
| NJ | 8749001 | 05 | |
| NJ | AETNA PPO ID | 7773498 | 01 |
| NJ | AETNA HMO ID | 3223879 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEWISH HOME AT ROCKLEIGH, INC. | 10 Link Dr, Rockleigh, NJ 07647-2504 |
| Street Address |
10 LINK DR |
| City | ROCKLEIGH |
| State | NJ |
| Zip Code | 07647-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981892 | Rebecca Frank | Speech-Language Pathologist | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-06-15 |
| 1588222855 | Kristin Maria Otero | Occupational Therapist | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-06-03 |
| 1225595150 | Soliana Paradise | Speech-Language Pathologist | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-02-27 |
| 1063977874 | Shani Zelinger-bernhaut I | Physical Medicine & Rehabilitation | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-02-06 |
| 1467917518 | Deborah Jean O'keefe | Physical Therapist | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-02-04 |
| 1023573169 | Evince Edouard | Occupational Therapy Assistant | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-02-03 |
| 1134684285 | David E Orellano | Physical Therapy Assistant | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-02-03 |
| 1609331925 | David Scott Rosen | Physical Medicine & Rehabilitation | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-02-01 |
| 1184188450 | Tara Burbridge | Occupational Therapy Assistant | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-01-30 |
| 1144784489 | Ilana Dallas | Physical Therapist | 10 Link Dr, Rockleigh, NJ 07647-2504 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871097030 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Walnut Street, Northvale, NJ 07647 | 2018-03-22 |
| 1023352614 | Melanie Saladino | Speech-Language Pathologist | 34b Piermont Rd, Rockleigh, NJ 07647 | 2012-11-20 |
| 1356553028 | Company Medical Associates | General Practice | 160 Paris Avenue, Suite 1, Northvale, NJ 07647 | 2007-05-04 |
| 1114045523 | Vantage Health System | Substance Abuse Rehabilitation Facility | 35d Piermont Road, Rockleigh, NJ 07647 | 2007-03-26 |
| 1215093182 | County of Bergen Nj | Skilled Nursing Facility | 35 Piermont Rd, Rockleigh, NJ 07647 | 2006-12-28 |
| 1649367129 | Shilpa Ashok Patel | Pediatrics | 22 Paris Ave, Suite 109, Rockleigh, NJ 07647 | 2006-10-06 |
| 1093731036 | Thomas Matthew Donofrio | Physical Therapist | 595 Wildwood Rd W, Northvale, NJ 07647 | 2006-07-14 |
| 1669874939 | Jacqueline Sperber | Nurse Practitioner | 269 Livingston St Ste A, Northvale, NJ 07647 | 2014-09-18 |
| 1750509485 | Mary Kavanagh | Registered Nurse | 35d Piermont Road, Rockleigh, NJ 07647 | 2007-04-20 |
| 1700350998 | Mira Dogjani | Occupational Therapy Assistant | 10 Link Dr Rockleigh, Nj 07647 - 2504 United States, Rockleigh, NJ 07647-0763 | 2019-01-22 |
| Find all providers in zip 07647 | ||||
| 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 |
|---|---|---|---|---|
| 1215093182 | County of Bergen Nj | Skilled Nursing Facility | 35 Piermont Rd, Rockleigh, NJ 07647 | 2006-12-28 |
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| 1710441704 | Autumn Management LLC | Skilled Nursing Facility | 4201 Route 9, Howell, NJ 07731-3308 | 2019-01-24 |
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| 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 |
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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.