Organization Active NPI

Brandywine Assisted Living at Toms River

  • Assisted Living Facility
  • Toms River, NJ
National Provider Identifier
1952575359
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
65A112 Issued in NJ
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

Updated by the provider on Apr 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0154881MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2208010Brandywine Living at Toms River1587 Old Freehold Road, Toms River, NJ 08755Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.