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BROOKDALE EMERSON
NPI 1215146832
Assisted Living Facility in Emerson, NJ

Active since May 21, 2007CLIA 31D2195419 · Waiver
590 OLD HOOK RD, EMERSON, NJ 07630(201) 986-9009(201) 986-9777 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brookdale Emerson NPPES

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

BROOKDALE EMERSON (NPI 1215146832) is a healthcare organization registered as an assisted living facility in Emerson, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Mark Ohlendorf, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1215146832
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBREA EMERITUS
Location Address590 OLD HOOK RDEmerson, NJ 07630-1378
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(201) 986-9009
Fax(201) 986-9777
Organization SubpartNo
Authorized OfficialMark OhlendorfPresident/ceo · (414) 918-5403
Enumeration DateMay 21, 2007
Last NPPES UpdateMay 14, 2015
✔ NPI 1215146832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NJ · 05A004
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
590 OLD HOOK RD, Emerson, NJ 07630
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Other Names 1

Doing Business AsBrookdale Emerson

Other Identifiers 1

Medicaid0074578NJ

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 31D2195419

Brookdale Emerson · Emerson, NJ
Active · expires Oct 7, 2026
CLIA Number31D2195419
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorRynna Torres
Laboratory Phone(201) 986-9009
Laboratory LocationBrookdale Emerson590 Old Hook Road, Emerson, NJ 07630
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

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

BREA EMERSON, LLC
Assisted Living Facility
590 OLD HOOK RD, BROOKDALE EMERSON
EMERSON, NJ 07630
Bergen County (201) 986-9009

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 Brea Emeritus's NPI number?

The NPI number for Brea Emeritus is 1215146832. It was assigned to this organization in the NPPES registry on May 21, 2007. The provider is doing business as Brookdale Emerson.

Where is Brea Emeritus located?

Brea Emeritus is located at 590 Old Hook Rd, Emerson, NJ 07630. The listed phone number is (201) 986-9009.

What is Brea Emeritus's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Brea Emeritus hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2195419) is associated with this NPI, valid through October 7, 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 Brea Emeritus was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.