Provider Demographics
NPI:1609863703
Name:SPRINGPOINT AT MEADOW LAKES, INC
Entity Type:Organization
Organization Name:SPRINGPOINT AT MEADOW LAKES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR V.P./CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDGET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-430-3675
Mailing Address - Street 1:4814 OUTLOOK DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6812
Mailing Address - Country:US
Mailing Address - Phone:732-430-3750
Mailing Address - Fax:732-430-3711
Practice Address - Street 1:300 MEADOW LKS
Practice Address - Street 2:
Practice Address - City:HIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08520-4804
Practice Address - Country:US
Practice Address - Phone:609-448-4100
Practice Address - Fax:609-448-5380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Multi-Specialty
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4483707Medicaid
NJ462987OtherEMPIRE MEDICARE
NJ4483707Medicaid
NJ315022Medicare Oscar/Certification
NJ462987OtherEMPIRE MEDICARE
NJG79178Medicare UPIN