Organization
JEWISH HOME AT ROCKLEIGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUNNI HERMAN (EXECUTIVE VICE PRESIDENT)
(201) 750-4236
Entity
Organization
Contact information
Practice address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
(201) 784-1414
(201) 750-4266
Mailing address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
(201) 784-1414
(201) 750-4266
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
JZ24OP
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025304
WELLCOICE NEW JERSEY ID
NJ
01
—
3223879
AETNA HMO ID
NJ
01
—
7773498
AETNA PPO ID
NJ
05
—
8749001
—
NJ
Enumeration date
02/05/2007
Last updated
09/10/2020
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