Organization · Type 2 NPI

County of Passaic Department of Finance

Skilled Nursing Facility · Wayne, NJ

NPI number 1033612403 Active

Practice location

305 Oldham Road
Wayne, NJ 07470

Fax (973) 790-1903

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	061617

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1033612403
Entity type: Organization (Type 2)
Issued: Mar 13, 2018
Last updated: Mar 13, 2018
Status: Active
Subpart: Yes of County of Passaic Department of Finance

Other names

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Preakness Healthcare Center, Ventilator Dependant Unit · doing business as

Authorized official

Mr. Thomas Gerard Williamson
Fiscal Officer
(973) 585-2189

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033612403

County of Passaic Department of Finance's National Provider Identifier is 1033612403, issued on Mar 13, 2018. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wayne, NJ. The record was last updated on Mar 13, 2018.