Provider Demographics
NPI:1679288526
Name:CARNEGIE POST ACUTE CARE AT PRINCETON LLC
Entity Type:Organization
Organization Name:CARNEGIE POST ACUTE CARE AT PRINCETON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:YAAKOV
Authorized Official - Middle Name:
Authorized Official - Last Name:DORFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:732-813-0030
Mailing Address - Street 1:1613 ROUTE 88
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3000
Mailing Address - Country:US
Mailing Address - Phone:732-813-0030
Mailing Address - Fax:
Practice Address - Street 1:5000 WINDROW DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-5003
Practice Address - Country:US
Practice Address - Phone:609-987-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility