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Brea Emeritus

Brea Emeritus is a healthcare organization registered as Assisted Living Facility in Emerson, NJ, holding Type 2 (organization) NPI 1215146832 since 2007. The authorized official on file is Mark Ohlendorf, President/Ceo.

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NPI 1215146832
Entity type Organization (Type 2)
Legal business name Brea Emeritus
Other name <Unavail>
Practice address 590 OLD HOOK RD, Emerson, NJ, 07630
Phone 2019869009
Fax 2019869777
Enumeration date 2007-05-21
Last updated in NPPES 2015-05-14

Authorized official

Name Mark Ohlendorf
Title President/Ceo
Phone 4149185403

Taxonomy & classification

Taxonomy code Specialty Primary License State
310400000X Assisted Living Facility Primary 05A004 NJ

Other identifiers

Identifier Type State Issuer
0074578 Medicaid NJ
Copy-ready billing details
Provider: Brea Emeritus
NPI: 1215146832
Taxonomy: 310400000X (Assisted Living Facility)
Address: 590 OLD HOOK RD, Emerson, NJ, 07630

Providers at this address

NPI Name Type Specialty Location
1417110859 Brea Emerson, LLC Organization Assisted Living Facility Emerson, NJ

Verify this record

Cross-check NPI 1215146832 against the authoritative CMS record: view Brea Emeritus 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?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Brea Emeritus?
Brea Emeritus is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-14.