CHANCELLOR SPECIALTY CARE CENTER
NPI 1063454494
Skilled Nursing Facility in Irvington, NJ

Active since June 11, 2006CLIA 31D0855756 · Waiver
155 40TH ST, IRVINGTON, NJ 07111(973) 371-7878(973) 371-4081 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chancellor Specialty Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANCELLOR SPECIALTY CARE CENTER (NPI 1063454494) is a healthcare organization registered as a skilled nursing facility in Irvington, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sam Stern, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1063454494
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameIRVINGTON HEALTHCARE PROVIDERS LLC
Location Address155 40TH STIrvington, NJ 07111-1184
Mailing Address170 53rd St, 3rd FloorBrooklyn, NY 11232-4319 · (718) 567-0400 · Fax (718) 567-0600
Fax(973) 371-4081
Organization SubpartNo
Authorized OfficialSam SternComptroller · (718) 576-0400
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1063454494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NJ · 060736
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

155 40TH ST, Irvington, NJ 07111

Other Names 1

Doing Business AsChancellor Specialty Care Center

Other Identifiers 1

Medicaid5057906NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0855756

Chancellor Specialty Care Center · Irvington, NJ
Active · expires Aug 31, 2026
CLIA Number31D0855756
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNelson M. Duran
Laboratory Phone(973) 371-7878
Laboratory LocationChancellor Specialty Care Center155 40th Street, Irvington, NJ 07111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
155 40TH ST
IRVINGTON, NJ 07111
Skilled Nursing Facility
155 40TH ST
IRVINGTON, NJ 07111
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
155 40TH ST
IRVINGTON, NJ 07111
Skilled Nursing Facility
155 40TH ST
IRVINGTON, NJ 07111
Skilled Nursing Facility
155 40TH ST
IRVINGTON, NJ 07111
Skilled Nursing Facility
155 40TH ST
IRVINGTON, NJ 07111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irvington Healthcare Providers LLC's NPI number?

The NPI number for Irvington Healthcare Providers LLC is 1063454494. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Chancellor Specialty Care Center.

Where is Irvington Healthcare Providers LLC located?

Irvington Healthcare Providers LLC is located at 155 40th St, Irvington, NJ 07111. The listed phone number is (973) 371-7878.

What is Irvington Healthcare Providers LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Irvington Healthcare Providers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0855756) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Irvington Healthcare Providers LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.