OrganizationActive
1165 Easton Avenue Operations LLC
NPI 1528577293 · Nursing Facility/Intermediate Care Facility · Somerset, NJ
Provider details
- NPI number
- 1528577293
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Michael Berg, Vp Gen Counsel Asst Secy
- License
- 00000 (NJ)
Mailing address
1165 Easton Ave
Somerset, NJ 08873-1613
Registry dates
- Enumerated
- 2017-09-26
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.