# NEWARK EXTENDED CARE FACILITY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1902895501
- **Authorized official:** MR. SAMUEL PANETH LNHA (ADMINISTRATOR)
- **Authorized official phone:** (973) 483-6800

## Contact information

- **Practice address:** 65 JAY ST, NEWARK, NJ 07103-3235
- **Practice address phone:** (973) 483-6800
- **Practice address fax:** (973) 483-1841
- **Mailing address:** 65 JAY ST, NEWARK, NJ 07103-3235
- **Mailing address phone:** (973) 483-6800
- **Mailing address fax:** (973) 483-1841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060713 | NJ | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 12/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4476204 | — | NJ |
