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Sunnyside Manor Inc

Assisted Living Facility in Wall Township, NJ · enumerated 2007 · authorized official Maryellen Keane, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750427282

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Registry record

Entity type Organization (Type 2)
Legal business name Sunnyside Manor Inc
Other name <Unavail>
Practice address 2500 Ridgewood Rd, Wall Township, NJ, 07719
Phone (732) 528-9311
Fax (732) 528-9026
Enumeration date Jan 30, 2007
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 13A015 (NJ) Primary

Authorized official

Name Maryellen Keane
Title Administrator
Phone (732) 528-9311

Other identifiers

Identifier Type State Issuer
7902514 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Sunnyside Manor Inc?
The NPI for Sunnyside Manor Inc is 1750427282, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sunnyside Manor Inc?
NPPES lists Maryellen Keane (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.