Active NPI
Jeana Hansen
- Nursing Facility/Intermediate Care Facility
- Manasquan, NJ
National Provider Identifier
1891125175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 061329
- Practice address
- 2501 Ramshorn Dr
Manasquan, NJ 08736-2133 - Phone
- (732) 528-9311
- Fax
- (732) 528-9026
- NPI assigned
- Nov 22, 2013
- Last updated
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 061329 | NJ | Primary |
Addresses
Primary practice location
2501 Ramshorn Dr
Manasquan, NJ 08736-2133
Mailing address
2501 Ramshorn Dr
Manasquan, NJ 08736-2133
Phone (732) 528-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061329 | NJ | MD | Nursing Facility/Intermediate Care Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Manor Inc | Current | Accepting new patients | |
| Sunnyside Manor Inc | Current | Accepting new patients |
Locations
2501 Ramshorn Dr
Manasquan, NJ 08736
Phone (732) 528-9311
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1891125175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 RAMSHORN DR",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087362133",
"telephone_number": "732-528-9311",
"fax_number": "732-528-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 RAMSHORN DR",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087362133",
"telephone_number": "732-528-9311",
"fax_number": "732-528-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "JEANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NJ",
"license": "061329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.