Sunnyside Manor Inc
NPI 1417093501 · Skilled Nursing Facility · Wall Township, NJ
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunnyside Manor Inc is a Skilled Nursing Facility organization in Wall Township, NJ (NPI 1417093501).
Provider details
- NPI number
- 1417093501
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Maryellen Keane, Administrator(732) 528-9311
- License
- 061329 (NJ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sunnyside Manor
Additional practice locations (1)
- 2501 Ramshorn DrManasquan, NJ 08736-2133Phone: (732) 528-9311Fax: (732) 528-9026
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2022-07-21
Frequently asked questions
- What is Sunnyside Manor Inc's NPI number?
- Sunnyside Manor Inc's National Provider Identifier (NPI) is 1417093501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunnyside Manor Inc?
- Sunnyside Manor Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sunnyside Manor Inc located?
- Sunnyside Manor Inc's practice location on file with NPPES is 2500 Ridgewood Rd, Wall Township, NJ 07719-9600.
- What is Sunnyside Manor Inc's phone number?
- The practice phone number listed in the NPPES registry for Sunnyside Manor Inc is (732) 528-9311.
- Does Sunnyside Manor Inc accept Medicare?
- Sunnyside Manor Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sunnyside Manor Inc?
- The authorized official listed on Sunnyside Manor Inc's NPPES record is Maryellen Keane, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunnyside Manor Inc's NPI active?
- Yes — Sunnyside Manor Inc's NPI (1417093501) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.