NPIMap

Organization Active NPI

Manor by the Sea

  • Skilled Nursing Facility
  • Ocean Grove, NJ
National Provider Identifier
1316025547
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314000000X Issued in NJ
Legal business name
MANOR BY THE SEA
Practice address
160 S Main St
Ocean Grove, NJ 07756-1013
Phone
(732) 775-0554
Fax
(732) 774-2021
NPI assigned
Nov 2, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Richard D Wilson
Title
VP Finance
Phone
(732) 922-9802

Corporate family (same tax ID) 5

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

National Provider Directory

National Provider Directory
Tax ID family
United Methodist Communities at Collingswood (6 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 314000000X NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

160 S Main St
Ocean Grove, NJ 07756-1013

Mailing address

3311 State Route 33
Neptune, NJ 07753-3440
Phone (732) 922-9802

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
6370306MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2008.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1316025547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533440",
            "telephone_number": "732-922-9802",
            "fax_number": "732-922-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S MAIN ST",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561013",
            "telephone_number": "732-775-0554",
            "fax_number": "732-774-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR BY THE SEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "732-922-9802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "314000000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6370306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.