Active NPIOrganization

Van Dyk Healthcare, INC.

Skilled Nursing Facility in Montclair, New Jersey

NPI Number1194807412
Practice location
42 N Mountain Ave, Montclair, NJ 07042-2318
Fax
973-783-8499
Last updated
February 11, 2010

Van Dyk Healthcare, INC. is a healthcare organization based in Montclair, NJ. Van Dyk Healthcare, INC. practices in Montclair, NJ. The NPI Number for Van Dyk Healthcare, INC. is 1194807412 and holds a License No. 060719 (NJ). The current practice location address for Van Dyk Healthcare, INC. is 42 N Mountain Ave, Montclair, NJ 07042-2318 and can be reached out via phone at 973-783-9400 and via fax at 973-783-8499.

Provider Profile Details

NPI Number
1194807412
Provider Name
Van Dyk Healthcare, INC.
Provider Entity Type
Organization
Address
42 N Mountain Ave, Montclair, NJ 07042-2318
Phone Number
973-783-9400
Fax Number
973-783-8499
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Miss Donna M. Melchionda · Chief Financial Officer · 201-689-7991
Other Names
Van Dyk Manor Of Montclair (Other Name)
Provider Enumeration Date
October 19, 2006
Last Update Date
February 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 N Mountain Ave
Montclair, NJ 07042-2318
Zip
07042-2318
Phone Number
973-783-9400
Fax Number
973-783-8499
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
644 Goffle RD
Hawthorne, NJ 07506-3452
City
Hawthorne
State
NJ
Zip
07506-3452
Phone Number
201-689-7991
Fax Number
973-304-2046

License Information

License Number
060719
License State
NJ
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Van Dyk Healthcare, INC.?

The NPI number of Van Dyk Healthcare, INC. is 1194807412. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Van Dyk Healthcare, INC.?

Van Dyk Healthcare, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NJ under license number 060719.

Where does Van Dyk Healthcare, INC. practice?

The practice location is 42 N Mountain Ave, Montclair, NJ 07042-2318. The office can be reached at 973-783-9400 (phone) or 973-783-8499 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194807412 directly on the NPPES registry website.

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