Active NPI
Neptune
- Skilled Nursing Facility
- Neptune, NJ
National Provider Identifier
1740311216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061304
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7754001 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.