Parkway Manor Health Center, LLC
NPI 1104061472 · Skilled Nursing Facility · East Orange, NJ
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Parkway Manor Health Center, LLC is a Skilled Nursing Facility organization in East Orange, NJ (NPI 1104061472).
Provider details
- NPI number
- 1104061472
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Moshe Frost, Controller(732) 364-2672
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
17 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)
- Other name
- Park Crescent Healthcare & Rehabilitation Center
Registry dates
- Enumerated
- 2008-12-15
- Last updated
- 2009-03-16
Frequently asked questions
- What is Parkway Manor Health Center, LLC's NPI number?
- Parkway Manor Health Center, LLC's National Provider Identifier (NPI) is 1104061472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Parkway Manor Health Center, LLC?
- Parkway Manor Health Center, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Parkway Manor Health Center, LLC located?
- Parkway Manor Health Center, LLC's practice location on file with NPPES is 480 N Walnut St, East Orange, NJ 07017-4029.
- What is Parkway Manor Health Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Parkway Manor Health Center, LLC is (973) 674-2700.
- Does Parkway Manor Health Center, LLC accept Medicare?
- Parkway Manor Health Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Parkway Manor Health Center, LLC?
- The authorized official listed on Parkway Manor Health Center, LLC's NPPES record is Moshe Frost, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Parkway Manor Health Center, LLC's NPI active?
- Yes — Parkway Manor Health Center, LLC's NPI (1104061472) is active in the NPPES registry as of the last update on 2009-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.