SUNNYSIDE MANOR
NPI 1417093501
Skilled Nursing Facility in Wall Township, NJ

Active since January 29, 2007CLIA 31D2188677 · Waiver
5/5
Overall Rating
2500 RIDGEWOOD RD, WALL TOWNSHIP, NJ 07719(732) 528-9311(732) 528-9026 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 19, 2017 (3 updates tracked since 2017).

About Sunnyside Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNNYSIDE MANOR (NPI 1417093501) is a healthcare organization registered as a skilled nursing facility in Wall Township, New Jersey and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 20, 2028, maintains a secondary practice location in Manasquan, and lists Maryellen Keane, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417093501
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUNNYSIDE MANOR INC
Location Address2500 RIDGEWOOD RDWall Township, NJ 07719-9600
Mailing Address2500 Ridgewood RdWall Township, NJ 07719-9600 · (732) 528-9311 · Fax (732) 528-9026
Fax(732) 528-9026
Organization SubpartNo
Authorized OfficialMaryellen KeaneAdministrator · (732) 528-9311
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1417093501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NJ · 061329
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2500 RIDGEWOOD RD, Wall Township, NJ 07719

Other Names 1

Doing Business AsSunnyside Manor

Secondary Practice Location 1

Location 12501 Ramshorn DrManasquan, NJ 08736-2133 · Phone (732) 528-9311 · Fax (732) 528-9026

Other Identifiers 2

Other9652NJ · Empire Provider Number
Medicaid7902506NJ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2188677

Sunnyside Manor · Wall, NJ
Active · expires Jul 20, 2028
CLIA Number31D2188677
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorRobert Demartin
Laboratory Phone(732) 528-9311
Laboratory LocationSunnyside Manor2500 Ridgewood Road, Wall, NJ 07719
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Sunnyside Manor (CMS certification number 315354), from CMS Care Compare.

Sunnyside Manor

Nursing home · Wall, NJ
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number315354
Certified Beds60 beds46 residents per day on average
Medicare & Medicaid Participant SinceMay 8, 1996
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
5.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.08 · LPN 0.63 · RN 0.83
4.53 hrs per resident per day
Weekend Nurse Staffing
4.22 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
25.6%
Registered Nurse Turnover
0%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
2500 RIDGEWOOD RD
WALL TOWNSHIP, NJ 07719
Physical Therapist
2500 RIDGEWOOD RD
WALL TOWNSHIP, NJ 07719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunnyside Manor Inc's NPI number?

The NPI number for Sunnyside Manor Inc is 1417093501. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Sunnyside Manor.

Where is Sunnyside Manor Inc located?

Sunnyside Manor Inc is located at 2500 Ridgewood Rd, Wall Township, NJ 07719. The listed phone number is (732) 528-9311.

What is Sunnyside Manor Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sunnyside Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2188677) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sunnyside Manor Inc a Medicare-certified nursing home?

Yes. Sunnyside Manor is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Sunnyside Manor Inc have?

CMS rates Sunnyside Manor 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Sunnyside Manor Inc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sunnyside Manor Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunnyside Manor Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.