Active NPI
Pitman Manor Inc
Doing business as United Methodist Communities at Pitman
- Skilled Nursing Facility
- Pitman, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 314000000X
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03544804 | Other | NJ | PROJECT NUMBER |
| 4478100 | Medicaid | NJ |
Other names 1
- United Methodist Communities at Pitman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Pitman
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1997
- Medicare certification status
- Active
- Certified beds
- 72
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Julie Ellis | Operational/Managerial Control | Oct 14, 2005 | |
| Adp of the SNF | Oct 14, 2005 | ||
| Michele Matthews | Operational/Managerial Control | Feb 7, 2011 | |
| Adp of the SNF | Feb 7, 2011 | ||
| Joseph J Conti | Adp of the SNF | Feb 21, 2025 | |
| Robert Peterson | 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
- Niyati Patel, DMD
- Katherine Perez-Rivera, PH.D.
- Bridget Peterson, OTR/L
- Christopher Shawn Pinkerton, P.T.
- Pitman Dental Inc (Pitman Dental)
- Pitman Manor, Inc. (United Methodist Communities at Pitman)
- Pitman Pharmacy Inc (Pitman Pharmacy)
- Pitman Public Schools
- Positive State Psychological & Behavioral Services, LLC
- Dorith Prutchi, MSS, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.