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Contact Information

PITMAN MANOR, INC.
535 NORTH OAK AVENUE
PITMAN, NJ08071
 Phone: 856-589-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for PITMAN MANOR, INC.

NPI Number 1962899807
LBN Legal business name PITMAN MANOR, INC.
Authorized official ROBERT PETERSON - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2015
Last updated 10/30/2023 - About 3 years ago
Identifiers
NJ License # 08C005
NJ Medicaid 4478100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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