SUNNYSIDE MANOR
NPI 1750427282
Assisted Living Facility in Wall Township, NJ

Active since January 30, 2007
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 09, 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 1750427282) is a healthcare organization registered as an assisted living facility in Wall Township, New Jersey and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Manasquan and lists Maryellen Keane, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750427282
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUNNYSIDE MANOR INC
Location Address2500 RIDGEWOOD RDWall Township, NJ 07719-9600
Mailing Address2500 Ridgewood RoadWall, NJ 07719 · (732) 528-9311 · Fax (732) 528-9026
Fax(732) 528-9026
Organization SubpartNo
Authorized OfficialMaryellen KeaneAdministrator · (732) 528-9311
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1750427282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NJ · 13A015
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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 1

Medicaid7902514NJ

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.

Skilled Nursing 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 1750427282. It was assigned to this organization in the NPPES registry on January 30, 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 Assisted Living Facility with taxonomy code 310400000X.

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.