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VAN DYK'S AT PARK PLACE
NPI 1730212689
Assisted Living Facility in Hawthorne, NJ

Active since March 13, 2007
644 GOFFLE RD, HAWTHORNE, NJ 07506(201) 689-7979(973) 304-2046 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Van Dyk's At Park Place NPPES

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

VAN DYK'S AT PARK PLACE (NPI 1730212689) is a healthcare organization registered as an assisted living facility in Hawthorne, New Jersey and active in the NPI registry since March 2007. The organization lists Charles H Shotmeyer, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1730212689
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVAN DYK'S SENIOR RESIDENCE OF HAWTHORNE, LLC
Location Address644 GOFFLE RDHawthorne, NJ 07506-3452
Mailing Address644 Goffle RdHawthorne, NJ 07506-3452 · (201) 689-7979 · Fax (973) 304-2046
Phone(201) 689-7979
Fax(973) 304-2046
Organization SubpartNo
Authorized OfficialCharles H ShotmeyerChief Financial Officer · (201) 689-7979
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730212689 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 · 8XD1WY
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.
644 GOFFLE RD, Hawthorne, NJ 07506
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Other Names 1

Other NameVan Dyk's At Park Place

Other Identifiers 1

Medicaid8712301NJ

Other Providers at the Same Location NPPES 3

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

LEARNING INSTITUTE FOR ENRICHMENT LLC
Physical Therapist
644 GOFFLE RD
HAWTHORNE, NJ 07506
Passaic County (973) 238-4339
DARYL MURPHY PT
Physical Therapist
644 GOFFLE RD
HAWTHORNE, NJ 07506
Passaic County (973) 636-7000
PAUL R NEKICH PTA
Physical Therapy Assistant
644 GOFFLE RD
HAWTHORNE, NJ 07506
Passaic County (973) 636-7000

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 Van Dyk's Senior Residence Of Hawthorne, LLC's NPI number?

The NPI number for Van Dyk's Senior Residence Of Hawthorne, LLC is 1730212689. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is also known as Van Dyk's At Park Place.

Where is Van Dyk's Senior Residence Of Hawthorne, LLC located?

Van Dyk's Senior Residence Of Hawthorne, LLC is located at 644 Goffle Rd, Hawthorne, NJ 07506. The listed phone number is (201) 689-7979.

What is Van Dyk's Senior Residence Of Hawthorne, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Van Dyk's Senior Residence Of Hawthorne, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.