Active NPI
Robert Bruce Mohn Jr.
- Critical Access Hospital
- Neptune, NJ
National Provider Identifier
1124420914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 26NO11736900
- Practice address
- 1945 Rte 33
Neptune, NJ 07753-4859 - Phone
- (732) 776-2325
- NPI assigned
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 26NO11736900 | NJ | Primary |
Addresses
Primary practice location
1945 Rte 33
Neptune, NJ 07753-4859
Mailing address
122 Washington Ave
Matawan, NJ 07747-2922
Phone (732) 970-8911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942208137 | Other | NJ | JSUMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO11736900 | NJ | MD | Critical Access Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1124420914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 WASHINGTON AVE",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077472922",
"telephone_number": "732-970-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 RTE 33",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534859",
"telephone_number": "732-776-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHN",
"first_name": "ROBERT",
"middle_name": "BRUCE",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NJ",
"license": "26NO11736900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JSUMC",
"identifier": "1942208137",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.