Provider Demographics
NPI:1659376317
Name:ACUTECARE HEALTH SYSTEM LLC
Entity Type:Organization
Organization Name:ACUTECARE HEALTH SYSTEM LLC
Other - Org Name:SPECIALTY HOSPITAL OF CENTRAL JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CZERMAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-364-0800
Mailing Address - Street 1:600 RIVER AVE # 4W
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5237
Mailing Address - Country:US
Mailing Address - Phone:732-364-0800
Mailing Address - Fax:732-364-0846
Practice Address - Street 1:600 RIVER AVE
Practice Address - Street 2:4 WEST
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5237
Practice Address - Country:US
Practice Address - Phone:732-942-3594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23359282E00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ312017Medicare Oscar/Certification