Mr of Manahawkin LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061520 Issued in NJ

Legal business name

MR OF MANAHAWKIN LLC

Practice address

1211 Route 72 W
Manahawkin, NJ 08050-2415

Phone

(201) 488-6789

Fax

(204) 488-7734

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Fischel Rispler

Title

Member

Phone

(201) 488-6789

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manahawkin Convalescent Center Doing business as

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962410399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ",
            "address_2": "SUITE 206",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016201",
            "telephone_number": "201-488-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502415",
            "telephone_number": "201-488-6789",
            "fax_number": "204-488-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR OF MANAHAWKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RISPLER",
        "authorized_official_first_name": "FISCHEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-488-6789"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4494105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manahawkin Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Robert Montgomery, M.S., CF-SLP
• Tricia Lynn Morino, DO
• Vasil Moshkovitch, MD
• Jessica Lynn Mottershead, MSW
• Melinda Moyer, FNP-BC
• Jaimie Lee Murdock, RPSGT
• Rebecca J Muroski, OTR
• Michele Murphy, RPH
• Kathleen Murray, LCSW
• Amber Myhre

• Skilled Nursing Facility in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.