The Shores at Wesley Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

314000000X Issued in NJ

Legal business name

THE SHORES AT WESLEY MANOR

Practice address

2201 Bay Ave
Ocean City, NJ 08226-2568

Phone

(609) 399-8505

Fax

(609) 391-8411

NPI assigned

Nov 1, 2006

Last updated

Dec 6, 2016By 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

Mr. Richard D Wilson

Title

VP Finance

Phone

(732) 922-9802

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1407933245",
    "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": "2201 BAY AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082262568",
            "telephone_number": "609-399-8505",
            "fax_number": "609-391-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHORES AT WESLEY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-12-06",
        "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": "7700504",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4471903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Ocean City, NJ
• Providers in Ocean City, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.