# POPE JOHN II PAVILLION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174780993
- **Authorized official:** CHAVIE KATZ (BILLING MANAGER)
- **Authorized official phone:** (718) 567-0400

## Contact information

- **Practice address:** 135 S CENTER ST, ORANGE, NJ 07050-3522
- **Practice address phone:** (973) 266-3200
- **Mailing address:** 170 53RD ST, BROOKLYN, NY 11232-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6799311 | — | NJ |
