Active NPI
Brandywine Assisted Living at Toms River
- Assisted Living Facility
- Toms River, NJ
National Provider Identifier
1952575359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 65A112
- Legal business name
- BRANDYWINE ASSISTED LIVING AT TOMS RIVER
- Practice address
- 1587 Old Freehold Rd
Toms River, NJ 08755-2173 - Phone
- (732) 240-0043
- NPI assigned
- Apr 16, 2008
- 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
- Melissa B Linteau
- Title
- Contract Manager
- Phone
- (908) 686-3233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 65A112 | NJ | Primary |
Addresses
Primary practice location
1587 Old Freehold Rd
Toms River, NJ 08755-2173
Mailing address
1587 Old Freehold Rd
Toms River, NJ 08755-2173
Phone (732) 240-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154881 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2208010 | Brandywine Living at Toms River | Certificate of waiver | Jan 3, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1952575359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1587 OLD FREEHOLD RD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087552173",
"telephone_number": "732-240-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1587 OLD FREEHOLD RD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087552173",
"telephone_number": "732-240-0043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDYWINE ASSISTED LIVING AT TOMS RIVER",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "LINTEAU",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CONTRACT MANAGER",
"authorized_official_telephone_number": "908-686-3233"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NJ",
"license": "65A112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0154881",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.