{
"Npi": {
"NPI": "1316232812",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GOLDEN REHABILITATION AND NURSING CENTER, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2477 HIGHWAY 516",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "OLD BRIDGE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08857-4603",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-358-6883",
"MailingAddressFaxNumber": "732-707-3853",
"FirstLinePracticeLocationAddress": "438 SALEM WOODSTOWN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SALEM",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08079-4220",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-935-6677",
"PracticeLocationAddressFaxNumber": "856-935-0457",
"EnumerationDate": "06/13/2011",
"LastUpdateDate": "07/09/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STERN",
"AuthorizedOfficialFirstName": "ARYEH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MEMBER OF LLC",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LNHA",
"AuthorizedOfficialTelephoneNumber": "732-358-6883",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "061703",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}