NPI

475 Jack Martin Boulevard Operations LLC

Doing business as Laurelton Village Care Center. NPI 1023493236

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2015-07-29
Last updated
2016-01-05

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Specialties

Licenses

License NJ
Number not in the file

Location

Practice location
475 Jack Martin Blvd
City
Brick NJ
Postal code
08724-7732
Phone
(732) 458-6600

Organization contact

Name
Michael Berg
Title
Assistant Secretary
Phone
(505) 468-4742

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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