Active NPIOrganization

Sunnyside Manor INC

Skilled Nursing Facility in Wall Township, New Jersey

NPI Number1417093501
Practice location
2500 Ridgewood RD, Wall Township, NJ 07719-9600
Fax
732-528-9026
Last updated
July 21, 2022

Sunnyside Manor INC is a healthcare organization based in Wall Township, NJ. Sunnyside Manor INC practices in Wall Township, NJ. The NPI Number for Sunnyside Manor INC is 1417093501 and holds a License No. 061329 (NJ). The current practice location address for Sunnyside Manor INC is 2500 Ridgewood RD, Wall Township, NJ 07719-9600 and can be reached out via phone at 732-528-9311 and via fax at 732-528-9026.

Provider Profile Details

NPI Number
1417093501
Provider Name
Sunnyside Manor INC
Provider Entity Type
Organization
Address
2500 Ridgewood RD, Wall Township, NJ 07719-9600
Phone Number
732-528-9311
Fax Number
732-528-9026
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mrs. Maryellen Keane, LNHA · Administrator · 732-528-9311
Other Names
Sunnyside Manor (Doing Business As)
Provider Enumeration Date
January 29, 2007
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 Ridgewood RD
Wall Township, NJ 07719-9600
Zip
07719-9600
Phone Number
732-528-9311
Fax Number
732-528-9026
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
2500 Ridgewood RD
Wall Township, NJ 07719-9600
City
Wall Township
State
NJ
Zip
07719-9600
Phone Number
732-528-9311
Fax Number
732-528-9026

License Information

License Number
061329
License State
NJ
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sunnyside Manor INC?

The NPI number of Sunnyside Manor INC is 1417093501. It was assigned on January 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Sunnyside Manor INC?

Sunnyside Manor INC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NJ under license number 061329.

Where does Sunnyside Manor INC practice?

The practice location is 2500 Ridgewood RD, Wall Township, NJ 07719-9600. The office can be reached at 732-528-9311 (phone) or 732-528-9026 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417093501 directly on the NPPES registry website.

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