JERSEY SHORE UNIVERSITY MEDICAL CENTER (NPI# 1811005176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811005176 |
| Entity Type | Organization |
| Organization Name | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| Other Organization Name | BEHAVIORAL HEALTH |
| Practice Address |
1011 Bond St Asbury Park NJ 07712-5939 |
| Mailing Address |
1113 Minnehaha Trl Manasquan NJ 08736-2020 |
| Practice Telephone | 7328692761 |
| Mailing Telephone | 7322232210 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK SULLIVAN (CLINICAL PROGRAM SUPERVISOR) |
| Authorized Official Telephone | 7328692781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
44SW00942700 | NJ | Hospitals |
| Other Name | Type Code |
|---|---|
| behavioral health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750441010 | Jersey Shore University Medical Center | General Acute Care Hospital | 462a Portsmouth Dr, Lakewood, NJ 08701-6518 | 2006-12-09 |
| 1295838126 | Jersey Shore University Medical Center | General Acute Care Hospital | 73 1st Ave, Apt.b, Atlantic Highlands, NJ 07716-1241 | 2006-09-06 |
| 1962809756 | Jersey Shore University Medical Center | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2014-11-24 |
| 1407950140 | Jersey Shore University Medical Center | General Acute Care Hospital | 1945 State Route 33, Neptune, NJ 07753-4859 | 2006-09-12 |
| Street Address |
1011 BOND ST |
| City | ASBURY PARK |
| State | NJ |
| Zip Code | 07712-5939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356456297 | Mark Tighe Sullivan | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-08-20 |
| 1386140564 | Christopher Schneider | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2018-04-05 |
| 1861932741 | Joanna Weislogel | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2017-02-27 |
| 1932536760 | Peter Dougherty | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2013-10-14 |
| 1003243817 | Susan Hatami | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2013-10-11 |
| 1770836025 | Meridian Behavioral Health | Clinic/Center | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2012-10-24 |
| 1952654972 | Eridian Behavioral Health | Clinic/Center | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2012-10-16 |
| 1023100666 | Peter Bering Wegener | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-09-29 |
| 1043302193 | Suzanne Von Bargen | Counselor | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-09-28 |
| 1992897094 | Michael Sean Rafter | Social Worker | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
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| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1164649257 | Atlantic Health, Morristown Memorial Hospital | General Acute Care Hospital | 100 Madison Ave # 88, Morristown, NJ 07960-6136 | 2007-04-19 |
| 1508928151 | Saint Clares Behaviroal Health Services | General Acute Care Hospital | 400 Wesr Blackwell St, Dover, NJ 07801 | 2006-12-13 |
| 1619474939 | Hospital Regional Del Rio of Mexico | General Acute Care Hospital | 50c Us Highway 9, Morganville, NJ 07751-1526 | 2018-04-12 |
| 1124420914 | Robert Bruce Mohn Jr. | General Acute Care Hospital | 1945 Rte 33, Neptune, NJ 07753-4859 | 2014-09-23 |
| 1053654749 | Cooper University Hospital | General Acute Care Hospital | 3 Cooper Plz, Camden, NJ 08103-1438 | 2013-04-01 |
| 1306087853 | Umdnj-nj School of Medicine | General Acute Care Hospital | 185 S Orange Ave, Newark, NJ 07103-2757 | 2009-03-12 |
| 1407007255 | Frances Vela-cantos | General Acute Care Hospital | 350 Engle St, Englewood Hospital Cardiac Surgery, Englewood, NJ 07631-1808 | 2008-10-09 |
| 1659571420 | Hackensack Hospital | General Acute Care Hospital | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2007-07-20 |
| Find all providers with the same taxonomy | ||||
| City | ASBURY PARK |
| Zip Code | 07712 |
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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.