YMCA of the Jersey Shore
Organization Active NPI Community/Behavioral Health Agency · Eatontown, NJ
NPI 1013569839 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1013569839
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- YMCA OF THE JERSEY SHORE
- Practice address
- 7 Grant Ave
Eatontown, NJ 07724-1309 - Phone
- (732) 290-9040
- NPI assigned
- Jul 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Cory Cuomo, LCSW
- Title
- Vice President
- Phone
- (732) 290-9040
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- YMCA of the Jersey Shore
Locations
7 Grant Ave
Eatontown, NJ 07724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
7 Grant Ave
Eatontown, NJ 07724-1309
Mailing address
166 Main St
Matawan, NJ 07747-3104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0691453 | Medicaid | NJ |
Other providers in Eatontown, NJ
- Womens Health Alliance LLC
- Kimberly Wong
- Annabelle Woo
- Joanne Wright
- Linjun Xie
- YMCA of the Jersey Shore
- YMCA of the Jersey Shore
- YMCA of the Jersey Shore
- YMCA of the Jersey Shore
- YMCA of the Jersey Shore
All providers in Eatontown, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.