Senior Net, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR NET, INC

Practice address

1701 Ocean Ave
Asbury Park, NJ 07712-5646

Phone

(732) 988-9090

Fax

(732) 988-0405

NPI assigned

Nov 13, 2006

Last updated

May 14, 2008By 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. Gary Puma

Title

President-Ceo

Phone

(609) 987-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1669543518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ROSZEL RD",
            "address_2": "SUITE C120",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406211",
            "telephone_number": "609-987-8900",
            "fax_number": "609-720-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OCEAN AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125646",
            "telephone_number": "732-988-9090",
            "fax_number": "732-988-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR NET, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "PUMA",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "609-987-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7278900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.