HMH Hospitals Corporation
Organization Active NPI Clinic/Center · Neptune, NJ
NPI 1053880286 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1053880286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- HMH HOSPITALS CORPORATION
- Practice address
- 1200 Jumping Brook Rd.
BLDG 5, Ste 201
Neptune, NJ 07753 - Phone
- (732) 643-4400
- Fax
- (732) 643-4378
- NPI assigned
- Nov 16, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- HMH HOSPITALS CORPORATION
Authorized official
- Name
- Marilyn Koczan
- Title
- VP Revenue Cycle
- Phone
- (732) 897-7800
Owners & managing parties with NPI records 6
-
Aida Pilar Capo, MD
-
Gregorio J. Guillen, M.D
-
Steven P Lisser, M.D.
-
Pranaychandra J Vaidya, M.D., F.A.C.C.
-
Walter Alan Wynkoop, M.D.
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 44
Related certifications (CCN) 1
Affiliated clinicians 1,685
-
Michael R Aaron, D.O.
-
Ziad Afif Abbud, MD
-
Denise Abdulahad, MD
-
Hussain Muhammad Abdullah, MBBS, MD
-
Lita Abrazaldo-Richards, APN - C
-
Frederick Acquah, MD/MBA
-
Evan Paul Adler, DPM
-
Swara Afiniwala, M.D
-
Murielle Ahawo, MD
-
Nauman Ahmad, M.D.
-
Saira Ahmad, M.D
-
Tanveer Ahmad, MD
-
Nasim Ahmed, MD
-
Omar Zikri Ahmed, M.D.
-
Rafeeq Ahmed, M.D
-
Vaqar Ahmed, MD
-
Rany Samir Al Haj, M.D.
-
Ghadier Al Saoudi, M.D
Medicare Care Compare: Hospital
- Listed as
- Jersey Shore University Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Hospital certification: CCN 310073
- Legal name
- HMH HOSPITALS CORPORATION
- Doing business as
- JERSEY SHORE UNIVERSITY MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 15, 2022
- Beds
- 596
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 2018 (4 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 2, 1888 in NJ
- Enrollment address
- 1945 State Route 33
Neptune, NJ 77534859 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 29
| Name | Role | Since | Share |
|---|---|---|---|
| Gloria D Martini |
Corporate Director |
Jan 1, 2018 | |
| Praful Raja |
Corporate Director |
Jan 1, 2022 | |
| Frank L Fekete |
Corporate Director |
Jan 1, 2023 | |
| Richard Henning |
Corporate Director |
Jan 1, 2023 | |
| Edward Piccinich |
Corporate Director |
Jan 1, 2018 | |
| Thomas R Lake |
Corporate Director |
Jan 1, 2018 | |
| Marvin Goldstein |
Corporate Director |
Jan 1, 2018 | |
| Edward Russo |
Corporate Director |
Jan 1, 2023 | |
| William J Murray |
Corporate Director |
Jan 1, 2018 | |
| Frank Vuono |
Corporate Director |
Jan 1, 2023 | |
| Walter a. Wynkoop |
Corporate Director |
Jan 1, 2018 | |
| William Lawless |
Corporate Director |
Jan 1, 2018 | |
| Rosemarie Sorce |
Corporate Director |
Jan 1, 2023 | |
| Shawn Reynolds |
Corporate Director |
Jan 1, 2023 | |
| Richard Hand |
Corporate Officer | Jul 1, 2016 | |
| Gregorio J Guillen |
Corporate Director |
Jan 1, 2018 | |
| Kathryn Gibbons |
Corporate Officer |
Sep 1, 2022 | |
| Christopher Rotio |
Corporate Director |
Jan 1, 2022 | |
| Pranaychandra J Vaidya |
Corporate Director |
Jan 1, 2018 | |
| Luke Kealy |
Corporate Director |
Jan 1, 2018 | |
| Andria Schneiderman |
Corporate Director |
Jan 1, 2018 | |
| John J Wilcha |
Corporate Director |
Jan 1, 2018 | |
| Hackensack Meridian Health Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 100% |
| Kevin Field |
Corporate Director |
Jan 1, 2021 | |
| James Derosa |
Corporate Officer |
Dec 1, 2022 | |
| Robert C Garrett |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director |
Jan 1, 2023 | ||
| Steve P Lisser |
Corporate Director |
Jan 1, 2023 | |
| Mark S Stauder |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director |
Jan 1, 2023 | ||
| W-2 Managing Employee |
Jan 1, 2022 | ||
| Aida P Capo |
Corporate Director |
Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180208001055 | NJ | Part a Provider - Hospital | 9032181847 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Neptune, NJ; Neptune City, NJ; Manalapan, NJ |
National Provider Directory
- Tax ID family
- HMH Hospitals Corporation
- Part of
- HMH Hospitals Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1200 Jumping Brook Rd.
BLDG 5, Ste 201
Neptune, NJ 07753
Mailing address
1200 Jumping Brook Rd., BLDG 5, Ste 201
Attn: Behavioral Health Credentialing
Neptune, NJ 07753
Phone (732) 643-4372
Other names
- HMH Behavioral Health Home
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2018. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.