Healthcare Provider Details

I. General information

NPI: 1497872956
Provider Name (Legal Business Name): CEDAR OAKS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 DURHAM AVE
SOUTH PLAINFIELD NJ
07080-2309
US

IV. Provider business mailing address

245 BIRCHWOOD AVE
CRANFORD NJ
07016-2510
US

V. Phone/Fax

Practice location:
  • Phone: 732-287-9555
  • Fax: 732-287-1226
Mailing address:
  • Phone: 732-287-9555
  • Fax: 732-287-1226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number061216
License Number StateNJ

VIII. Authorized Official

Name: HESHY KLEIN
Title or Position: MEMBER
Credential:
Phone: 908-315-3400