NPIMap

Organization Active NPI

Bayshore Wound Care Center

  • Skilled Nursing Facility
  • Hazlet, NJ
National Provider Identifier
1013018365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
26NJ00040900 Issued in NJ
Legal business name
BAYSHORE WOUND CARE CENTER
Practice address
1 Bethany Rd
Building 3, Suite 41
Hazlet, NJ 07730-1663
Phone
(732) 203-9780
Fax
(732) 203-9781
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rose Weissman, FNP
Title
NP
Phone
(732) 977-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 26NJ00040900 NJ Primary

Addresses

Primary practice location

1 Bethany Rd
Building 3, Suite 41
Hazlet, NJ 07730-1663

Mailing address

24 N Lake Dr
Middletown, NJ 07748-2347
Phone (732) 977-4211

National Provider Directory

National Provider Directory
Tax ID family
Bayshore Community Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Bethany Rd
Ste 41
Hazlet, NJ 07730
Phone (732) 203-9780

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013018365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N LAKE DR",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482347",
            "telephone_number": "732-977-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "BUILDING 3, SUITE 41",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301663",
            "telephone_number": "732-203-9780",
            "fax_number": "732-203-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE WOUND CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "732-977-4211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "26NJ00040900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.