MONMOUTH MEDICAL CENTER (NPI# 1134394240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134394240 |
| Entity Type | Organization |
| Organization Name | MONMOUTH MEDICAL CENTER |
| Practice Address |
75 N Bath Ave Long Branch NJ 07740-6317 |
| Practice Telephone | 7329236500 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | MR. RICHARD L. DIXON (DIRECTOR OF OUTPATIENT BEHAVIORAL H) |
| Authorized Official Telephone | 7329235222 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
44SC05344000 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164626156 | Monmouth Medical Center | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2007-06-13 |
| 1598318503 | Monmouth Medical Center | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2019-07-18 |
| 1285937086 | Monmouth Medical Center | Military Hospital | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2010-12-16 |
| 1245551944 | Monmouth Medical Center | General Acute Care Hospital | 300 2nd Ave, Monmouth Medical Center, Long Branch, NJ 07740-6303 | 2010-06-16 |
| 1235457805 | Monmouth Medical Center | Student in an Organized Health Care Education/Training Program | 300 Second Ave, Long Branch, NJ 07740 | 2010-05-06 |
| 1750606810 | Monmouth Medical Center | General Acute Care Hospital | 300 2nd Ave, Sw237, Long Branch, NJ 07740-6303 | 2010-04-01 |
| 1992945174 | Monmouth Medical Center | Clinic/Center | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2009-02-27 |
| 1992900948 | Monmouth Medical Center | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Monmouth Medical Center, Long Branch, NJ 07740-6303 | 2007-06-19 |
| 1871798272 | Monmouth Medical Center | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2007-06-18 |
| 1134268683 | Monmouth Medical Center | Nurse Practitioner | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2007-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MONMOUTH MEDICAL CENTER INC. | 300 2nd Ave, Long Branch, NJ 07740-6303 |
| Street Address |
75 N BATH AVE |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164626156 | Monmouth Medical Center | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2007-06-13 |
| 1801366323 | Karen Elizabeth Sarles | Counselor | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2018-11-27 |
| 1437628708 | Samantha Snyder | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2018-11-16 |
| 1396214805 | Jana Bova | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2018-11-14 |
| 1497293492 | Stephanie Petrucha | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2017-02-09 |
| 1275926370 | Mary Vena | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2015-03-13 |
| 1386087914 | Terry H Brown | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2013-04-13 |
| 1477844660 | Erika Kristina Concepcion | Psychiatry & Neurology | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2011-04-22 |
| 1285937086 | Monmouth Medical Center | Military Hospital | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2010-12-16 |
| 1437461647 | Roselyn Linker | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2010-07-06 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649580820 | Kenneth J Rubin Md Pa | Clinic/Center | 170 Morris Ave, Suite D, Long Branch, NJ 07740-8214 | 2010-10-20 |
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| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| 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.