Organization Active NPI

Rosewood Assisted Living

  • Assisted Living Facility
  • Toms River, NJ
National Provider Identifier
1154461259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
65A112 Issued in NJ
Legal business name
ROSEWOOD ASSISTED LIVING
Practice address
1587 Old Freehold Rd
Suite 2
Toms River, NJ 08755-2173
Phone
(732) 240-0043
NPI assigned
Feb 7, 2007
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
Phyllis A Deyo
Title
Director LTC Accounts
Phone
(732) 206-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 65A112 NJ Primary

Addresses

Primary practice location

1587 Old Freehold Rd
Suite 2
Toms River, NJ 08755-2173

Mailing address

1587 Old Freehold Rd
Suite 2
Toms River, NJ 08755-2173
Phone (732) 240-0043

Other identifiers 1

IdentifierTypeStateIssuer
0062553MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1587 Old Freehold Rd
Ste 2
Toms River, NJ 08755
Phone (732) 240-0043

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154461259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 OLD FREEHOLD RD",
            "address_2": "SUITE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552173",
            "telephone_number": "732-240-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 OLD FREEHOLD RD",
            "address_2": "SUITE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552173",
            "telephone_number": "732-240-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEYO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR LTC ACCOUNTS",
        "authorized_official_telephone_number": "732-206-8003"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "65A112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062553",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, 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.