Organization Active NPI

Neptune

  • Skilled Nursing Facility
  • Neptune, NJ
National Provider Identifier
1740311216
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061304 Issued in NJ
Legal business name
NEPTUNE
Practice address
101 Walnut St
Neptune, NJ 07753-4301
Phone
(732) 774-3550
Fax
(732) 775-7534
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Mrs. Tramell C Clark
Title
Regional Resident Accounting MGR
Phone
(856) 813-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061304 NJ Primary

Addresses

Primary practice location

101 Walnut St
Neptune, NJ 07753-4301

Mailing address

525 Fellowship Rd
Mount Laurel, NJ 08054-3415
Phone (856) 813-2000

Other identifiers 1

IdentifierTypeStateIssuer
7754001MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1740311216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 FELLOWSHIP RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543415",
            "telephone_number": "856-813-2000",
            "fax_number": "856-813-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WALNUT ST",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534301",
            "telephone_number": "732-774-3550",
            "fax_number": "732-775-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPTUNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRAMELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REGIONAL RESIDENT ACCOUNTING MGR",
        "authorized_official_telephone_number": "856-813-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7754001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.