Long Beach Township
Organization Active NPI Public Health or Welfare Agency · Ship Bottom, NJ
NPI 1043465255 · NPPES record last updated Oct 20, 2017
Key facts
- NPI
- 1043465255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- LONG BEACH TOWNSHIP
- Practice address
- 2119 Long Beach Blvd
Ship Bottom, NJ 08008-4356 - Phone
- (609) 492-1212
- Fax
- (609) 492-9215
- NPI assigned
- Dec 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Daniel J Krupinski, MPH, HO
- Title
- Health Officer
- Phone
- (609) 492-1212
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0674741 | Long Beach Island Health Department | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090908000177 | NJ | Part B Supplier - Public Health/Welfare Agency | 7416002936 | Practice locations: Ship Bottom, NJ |
National Provider Directory
Locations
11601 Long Beach Blvd
Long Beach Township, NJ 08008
Phone (609) 492-1212
6805 Long Beach Blvd
Long Beach Township, NJ 08008
2119 Long Beach Blvd
Ship Bottom, NJ 08008
Phone (609) 492-1212
2119 Long Beach Blvd
Fl 1
Ship Bottom, NJ 08008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
2119 Long Beach Blvd
Ship Bottom, NJ 08008-4356
Mailing address
2119 Long Beach Blvd
Ship Bottom, NJ 08008-4356
Phone (609) 492-1212
Other names
- Long Beach Island Health Department
Other providers in Ship Bottom, NJ
- J and H Genesis ,LLC
- Anna Marie Kern
- Harry L Larkin
- Christina Levine
- Living Acupuncture & Healing Arts Center
- Sean Michael Martin
- Arnav R Mistry
- Michael J Moran
- Mse Medical Services
- New Jersey CVS Pharmacy LLC
All providers in Ship Bottom, NJ · Public Health or Welfare 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 Oct 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.