Brandywine Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

90143 Issued in NJ

Legal business name

BRANDYWINE ASSISTED LIVING

Doing business as

Brandywine at the Gables

Practice address

515 Jack Martin Blvd
Brick, NJ 08724-7744

Phone

(732) 836-1400

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa B Linteau

Title

Contract Manager

Phone

(908) 686-3233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brandywine at the Gables Doing business as

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225189822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247744",
            "telephone_number": "732-836-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247744",
            "telephone_number": "732-836-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINTEAU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "908-686-3233"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "90143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7796901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine at the Gables",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Courtney Bracken, FNP-BC
• Janet Bradshaw
• Amanda Bragg
• Taylor Danielle Branco
• Thomas E Brandeisky, D.O.
• Brandywine Assisted Living (Reflections at the Gables)
• Esther Brennan, MD
• Deanna Lynn Brescia, LPC
• Kaitlin Briar, MPT
• Brick Board of Education

• Assisted Living Facility in Brick, NJ
• Providers in Brick, NJ by specialty
• Assisted Living Facility in New Jersey

• 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.