Organization Active NPI

Genesis Rehab Services Southern Ocean Center

  • Skilled Nursing Facility
  • Manahawkin, NJ
National Provider Identifier
1689953085
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
41YS00652100 Issued in NJ
Legal business name
GENESIS REHAB SERVICES SOUTHERN OCEAN CENTER
Practice address
1361 Route 72 W
Manahawkin, NJ 08050-2417
Phone
(609) 978-0600
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Maryel Surriga
Title
Rehab Manager
Phone
(609) 978-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 41YS00652100 NJ Primary

Addresses

Primary practice location

1361 Route 72 W
Manahawkin, NJ 08050-2417

Mailing address

823 Coral Ave
Lakewood, NJ 08701-5422

Other identifiers 1

IdentifierTypeStateIssuer
80269690OtherEMPLOYEE IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1689953085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 CORAL AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502417",
            "telephone_number": "609-978-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES SOUTHERN OCEAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "SURRIGA",
        "authorized_official_first_name": "MARYEL",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "609-978-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "41YS00652100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENTIFICATION NUMBER",
            "identifier": "80269690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.