Organization Active NPI

Pitman Manor Inc

Doing business as United Methodist Communities at Pitman

  • Skilled Nursing Facility
  • Pitman, NJ
National Provider Identifier
1407934631
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314000000X Issued in NJ
Legal business name
PITMAN MANOR INC
Doing business as
United Methodist Communities at Pitman
Practice address
535 N Oak Ave
Pitman, NJ 08071-1025
Phone
(856) 589-7800
Fax
(856) 589-0448
NPI assigned
Nov 2, 2006
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Mr. Robert Peterson
Title
Chief Financial Officer
Phone
(732) 922-9800

Specialties & licenses 1

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

Addresses

Primary practice location

535 N Oak Ave
Pitman, NJ 08071-1025

Mailing address

205 Jumping Brook Rd
Neptune, NJ 07753-3197
Phone (732) 922-9800

Other identifiers 2

IdentifierTypeStateIssuer
03544804OtherNJPROJECT NUMBER
4478100MedicaidNJ

Other names 1

  • United Methodist Communities at Pitman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120927000254 NJ Part A Provider - Skilled Nursing Facility 2264689991 Practice locations: Pitman, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407934631. Details of each certification follow.

Skilled nursing facility certification: CCN 315427

Legal name
PITMAN MANOR INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1997
Last certification
Sep 27, 2024
Beds
72
Ownership / control type
Nonprofit Corporation
Multi-facility organization
United Methodist Homes of New Jersey
Organization structure
CorporationNon-profit
Incorporated
Aug 12, 1993 in NJ
Enrollment address
535 N Oak Ave
Pitman, NJ 08071-1025
Nursing home name
UNITED METHODIST COMMUNITIES AT PITMAN

Care Compare: Nursing home

Medicare Care Compare
Listed as
United Methodist Communities at PitmanCCN 315427 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7261.2 residents per day on average
Penalties (3 years)
1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

3311 State Route 33
Neptune, NJ 07753

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Ellis Individual Operational/Managerial Control Oct 14, 2005
Adp of the SNF Oct 14, 2005
Michele Matthews Individual Operational/Managerial Control Feb 7, 2011
Adp of the SNF Feb 7, 2011
Joseph J Conti Individual Adp of the SNF Feb 21, 2025
Robert Peterson Individual Operational/Managerial Control Sep 16, 2019
Adp of the SNF Sep 16, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1407934631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 JUMPING BROOK RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533197",
            "telephone_number": "732-922-9800",
            "fax_number": "732-922-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N OAK AVE",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711025",
            "telephone_number": "856-589-7800",
            "fax_number": "856-589-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITMAN MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "732-922-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "314000000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROJECT NUMBER",
            "identifier": "03544804",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Methodist Communities at Pitman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pitman, NJ

Sources for this page

Verify at the official NPI Registry.