Lakeland Operator LLC
Lakeland Operator LLC is a healthcare organization registered as Skilled Nursing Facility in Haskell, NJ, holding Type 2 (organization) NPI 1093430928 since 2022. The authorized official on file is Dov Green, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093430928 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lakeland Operator LLC |
| Practice address | 25 5TH AVE, Haskell, NJ, 07420 |
| Phone | 9738396000 |
| Enumeration date | 2022-10-04 |
| Last updated in NPPES | 2022-10-04 |
Authorized official
| Name | Dov Green |
|---|---|
| Title | Ceo |
| Phone | 8775670402 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Secondary | — | — |
| 385H00000X | Respite Care | Secondary | — | — |
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Copy-ready billing details
Provider: Lakeland Operator LLC NPI: 1093430928 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 25 5TH AVE, Haskell, NJ, 07420
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730200015 | Melinda Donohue | Individual | Physical Therapist | Haskell, NJ |
| 1457474256 | Edward Evanchick | Individual | Physical Therapist | Haskell, NJ |
| 1154540094 | Mary Defabrizio | Individual | Adult Health Nurse Practitioner | Haskell, NJ |
| 1114256617 | Christopher Miller | Individual | Occupational Therapy Assistant | Haskell, NJ |
| 1043530298 | Stephanie Capone | Individual | Respiratory/Developmental/Rehabilitative Specialist/Technologist | Haskell, NJ |
| 1730429788 | Lakeland Operations LLC | Organization | Skilled Nursing Facility | Haskell, NJ |
| 1821521121 | Jennifer Rana | Individual | Occupational Therapist | Haskell, NJ |
| 1811702731 | Casandra Morinvil | Individual | Nurse Practitioner | Haskell, NJ |
Verify this record
Cross-check NPI 1093430928 against the authoritative CMS record: view Lakeland Operator LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lakeland Operator LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-10-04.