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Van Dyk'S Senior Residence of Hawthorne, LLC

Assisted Living Facility in Hawthorne, NJ · enumerated 2007 · authorized official Charles Shotmeyer, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730212689

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Registry record

Entity type Organization (Type 2)
Legal business name Van Dyk'S Senior Residence of Hawthorne, LLC
Other name <Unavail>
Practice address 644 Goffle Rd, Hawthorne, NJ, 07506
Phone (201) 689-7979
Fax (973) 304-2046
Enumeration date Mar 13, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 8XD1WY (NJ) Primary

Authorized official

Name Charles Shotmeyer
Title Chief Financial Officer
Phone (201) 689-7979

Other identifiers

Identifier Type State Issuer
8712301 Medicaid NJ -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Van Dyk'S Senior Residence of Hawthorne, LLC located?
The practice location on file with NPPES is in Hawthorne, NJ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.