Active NPI
Genesis Rehab Services Southern Ocean Center
- Skilled Nursing Facility
- Manahawkin, NJ
National Provider Identifier
1689953085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 41YS00652100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80269690 | Other | EMPLOYEE IDENTIFICATION NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.