THE ESTAUGH (NPI# 1740279652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740279652 |
| Entity Type | Organization |
| Organization Name | THE ESTAUGH |
| Other Organization Name | MEDFORD LEAS |
| Practice Address |
1 Medford Leas Medford NJ 08055-2254 |
| Practice Telephone | 6096543000 |
| Practice Fax Number | 6096547894 |
| Mailing Telephone | 6096543000 |
| Mailing Fax Number | 6096549673 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | MR. JEREMY M VICKERS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6096543009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 060308 | NJ | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Medford Leas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226836 | The Estaugh | Pharmacy | 1 Medford Leas, Medford, NJ 08055-2254 | 2006-06-20 |
| Street Address |
1 MEDFORD LEAS |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353088 | James Charles Damico | Internal Medicine | 1 Medford Leas, Medford, NJ 08055-2254 | 2005-08-12 |
| 1699387076 | Alyssa Galletta | Speech-Language Pathologist | 1 Medford Leas, Medford, NJ 08055-2254 | 2020-08-18 |
| 1871860908 | Lisa A Hartman | Dietitian, Registered | 1 Medford Leas, Medford, NJ 08055-2254 | 2011-11-17 |
| 1508146861 | Ayesha J Ahmed | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2011-08-18 |
| 1629295852 | Joanne Salowe | Pharmacist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-04-19 |
| 1336364553 | Tammy Lynn Beckett | Occupational Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-04-14 |
| 1508080052 | Theresa A Widmann | Pharmacist | 1 Medford Leas, Pharmacy, Medford, NJ 08055-2254 | 2007-04-13 |
| 1649392531 | Kristen Edith Perkowski | Physical Therapist | 1 Medford Leas, Physical Therapy Dept., Medford, NJ 08055-2254 | 2007-04-04 |
| 1255457206 | Jean Marie Roland | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-03-21 |
| 1124144548 | Donna M Sherman | Physical Therapist | 1 Medford Leas, Medford, NJ 08055-2254 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| 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 |
|---|---|---|---|---|
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| 1730386509 | Hearthstone | Skilled Nursing Facility | 2901 E Barnett Rd, Medford, OR 97504-8308 | 2007-06-27 |
| 1114965894 | Waterford Operations, LLC | Skilled Nursing Facility | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2006-06-03 |
| 1033164272 | Courtyard Nursing Care Center Partnership | Skilled Nursing Facility | 200 Governors Ave, Medford, MA 02155-1644 | 2006-05-24 |
| 1679563464 | Nursing Care Center At Medford Inc | Skilled Nursing Facility | 3115 Horseblock Rd, Medford, NY 11763 | 2005-10-24 |
| 1225025455 | Michael F Flanagan, Receiver for Medfors Nursing Home | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2005-10-03 |
| 1760479349 | Cpl (glen Ridge) LLC | Skilled Nursing Facility | 120 Murray Street, Medford, MA 02155-1300 | 2005-09-29 |
| 1639170988 | Rogue Valley Manor | Skilled Nursing Facility | 1200 Mira Mar Ave, Medford, OR 97504-8546 | 2005-08-09 |
| 1467459008 | Medford Convalescent & Nursing Center | Skilled Nursing Facility | 185 Tuckerton Rd, Medford, NJ 08055-8803 | 2005-06-28 |
| 1144223454 | Winthrop House Senior Services, LLC | Skilled Nursing Facility | 300 Winthrop St, Medford, MA 02155-2311 | 2005-05-31 |
| Find all providers in MEDFORD | ||||
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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.