475 Jack Martin Boulevard Operations LLC
NPI 1023493236 · Skilled Nursing Facility · Brick, NJ
475 Jack Martin Boulevard Operations LLC is a Skilled Nursing Facility organization in Brick, NJ (NPI 1023493236).
Provider details
- NPI number
- 1023493236
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Genesis Nj Holdings LLC
- Organization subpart
- Yes
- Authorized official
- Michael Berg, Assistant Secretary(505) 468-4742
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Laurelton Village Care Center
Registry dates
- Enumerated
- 2015-07-29
- Last updated
- 2016-01-05
Frequently asked questions
- What is 475 Jack Martin Boulevard Operations LLC's NPI number?
- 475 Jack Martin Boulevard Operations LLC's National Provider Identifier (NPI) is 1023493236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 475 Jack Martin Boulevard Operations LLC?
- 475 Jack Martin Boulevard Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 475 Jack Martin Boulevard Operations LLC located?
- 475 Jack Martin Boulevard Operations LLC's practice location on file with NPPES is 475 Jack Martin Blvd, Brick, NJ 08724-7732.
- What is 475 Jack Martin Boulevard Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 475 Jack Martin Boulevard Operations LLC is (732) 458-6600.
- Who is the authorized official for 475 Jack Martin Boulevard Operations LLC?
- The authorized official listed on 475 Jack Martin Boulevard Operations LLC's NPPES record is Michael Berg, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 475 Jack Martin Boulevard Operations LLC's NPI active?
- Yes — 475 Jack Martin Boulevard Operations LLC's NPI (1023493236) is active in the NPPES registry as of the last update on 2016-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.