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YMCA of the Jersey Shore

Organization Active NPI Community/Behavioral Health Agency · Middletown, NJ

NPI 1013528058 · NPPES record last updated Jul 17, 2025

Key facts

NPI
1013528058
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
YMCA OF THE JERSEY SHORE
Practice address
1001 Middletown Lincroft Rd
Middletown, NJ 07748-3215
Phone
(732) 290-9040
Fax
(732) 566-0433
NPI assigned
Aug 13, 2020
Organization subpart
No

Authorized official

Name
Cory Cuomo, LCSW
Title
Vice President
Phone
(732) 290-9060

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
YMCA of the Jersey Shore (129 organizations share this tax ID)

Locations

1001 Middletown Lincroft Rd
Middletown, NJ 07748
Phone (732) 671-2212

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1001 Middletown Lincroft Rd
Middletown, NJ 07748-3215

Mailing address

166 Main St
Matawan, NJ 07747-3104
Phone (732) 290-9040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2025.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1013528058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473104",
            "telephone_number": "732-290-9040",
            "fax_number": "732-566-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MIDDLETOWN LINCROFT RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483215",
            "telephone_number": "732-290-9040",
            "fax_number": "732-566-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF THE JERSEY SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-290-9060",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

All providers in Middletown, NJ · Community/Behavioral Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.