MONMOUTH FAMILY HEALTH CENTER, INC (NPI# 1073558391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073558391 |
| Entity Type | Organization |
| Organization Name | MONMOUTH FAMILY HEALTH CENTER, INC |
| Practice Address |
270 Broadway Long Branch NJ 07740-7027 |
| Practice Telephone | 7329237100 |
| Practice Fax Number | 7329237104 |
| Mailing Telephone | 7329237100 |
| Mailing Fax Number | 7329237104 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | MS. ANDREA DUNCAN (DIRECTOR, FINANCE) |
| Authorized Official Telephone | 7324132020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
23104 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0032361 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790974996 | Monmouth Family Health Center, Inc | Clinic/Center | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2007-10-24 |
| Street Address |
270 BROADWAY |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-7027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684951 | Keren Amy Phillips | Pediatrics | 270 Broadway, Monmouth Family Health Center, Long Branch, NJ 07740 | 2005-07-28 |
| 1093357063 | Lorraine Leschhorn | Social Worker | 270 Broadway, Long Branch, NJ 07740-7027 | 2019-10-11 |
| 1346590114 | Martha C. Eisner | Social Worker | 270 Broadway, Monmouth Family Health Center, Long Branch, NJ 07740-7027 | 2012-09-19 |
| 1992963169 | Martin A Araujo | Family Medicine | 270 Broadway, Long Branch, NJ 07740-7027 | 2008-05-24 |
| 1760426894 | Amee Patel Kapoor | Pediatrics | 270 Broadway, Long Branch, NJ 07740-7027 | 2006-06-16 |
| 1891763660 | Judith Ann Cotov | Internal Medicine | 270 Broadway, Long Branch, NJ 07740-7027 | 2006-03-09 |
| 1174517619 | Raksha Joshi | Obstetrics & Gynecology | 270 Broadway, Long Branch, Long Branch, NJ 07740-7027 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962841502 | Monmouth Family Health Center Inc | Clinic/Center | 335 Broadway, Long Branch, NJ 07740-6901 | 2013-06-17 |
| 1669791869 | Monmouth Family Health Center, Inc. | Clinic/Center | 80 Pavilion Ave, Long Branch, NJ 07740-6413 | 2010-05-27 |
| 1790974996 | Monmouth Family Health Center, Inc | Clinic/Center | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2007-10-24 |
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| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
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| 1477914612 | City of Newark | Clinic/Center | 30 N Munn Ave # 30a, Newark, NJ 07106-1411 | 2016-03-16 |
| Find all providers with the same taxonomy | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.