MONMOUTH MEDICAL CENTER (NPI# 1992945174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992945174 |
| Entity Type | Organization |
| Organization Name | MONMOUTH MEDICAL CENTER |
| Practice Address |
300 2nd Ave Long Branch NJ 07740-6303 |
| Practice Telephone | 7329236285 |
| Practice Fax Number | 7329236294 |
| Mailing Telephone | 7329236285 |
| Mailing Fax Number | 7329236294 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | MR. GERALD TOFANI (CFO) |
| Authorized Official Telephone | 7329237181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
11304 | 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 |
| 1134394240 | Monmouth Medical Center | Clinic/Center | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2008-04-29 |
| 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 |
300 2ND AVE |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246048 | Kathleen L Mcdonald | Radiology | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2005-06-27 |
| 1992302798 | Shannon Margaret Kirk | Nurse Practitioner | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-10-05 |
| 1487267241 | Poonam Raut | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-30 |
| 1356952261 | Arundhati Chandini Arjun | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-13 |
| 1811507395 | Charmee Hitesh Vyas | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-09 |
| 1235749839 | Tiwadayo Sam-odusina | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-07 |
| 1740890508 | Rama Maghnam | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-06 |
| 1831708239 | Kimberly Lily Pereira | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-31 |
| 1407465818 | Niharika Podaralla | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-31 |
| 1003425505 | Michelle Woodfield | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-30 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| 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.