# TUCKERTON OPERATING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pines at Medford
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457246555
- **Authorized official:** CHARLES-EDOUARD GROS (MEMBER)
- **Authorized official phone:** (718) 360-8083

## Contact information

- **Practice address:** 185 TUCKERTON RD, MEDFORD, NJ 08055-8803
- **Practice address phone:** (856) 983-8500
- **Mailing address:** 460 BAYVIEW AVE, INWOOD, NY 11096-1702
- **Mailing address phone:** (718) 360-8083

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2025
- **Last updated:** 06/10/2025