Organization Active NPI

Drtcrs Enterprises LLC

  • Nursing Care Agency
  • Brick, NJ
National Provider Identifier
1366919342
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
DRTCRS ENTERPRISES LLC
Practice address
990 Cedar Bridge Ave Ste B8
Brick, NJ 08723-4157
Phone
(732) 575-9100
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Tracy Connelly
Title
Director of Operations
Phone
(732) 575-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

990 Cedar Bridge Ave Ste B8
Brick, NJ 08723-4157

Mailing address

990 Cedar Bridge Ave Ste B8
Brick, NJ 08723-4157
Phone (732) 575-9100

Other names 1

  • Jersey Shore Skilled Nursing & Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1366919342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CEDAR BRIDGE AVE STE B8",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234157",
            "telephone_number": "732-575-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 CEDAR BRIDGE AVE STE B8",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234157",
            "telephone_number": "732-575-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRTCRS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "732-575-9100"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Skilled Nursing & Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.