NPIMap

Organization Active NPI

Jewish Family & Children'S Service of Greater Monmouth County

  • Clinical Social Worker
  • Asbury Park, NJ
National Provider Identifier
1164540274
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100980104 Issued in NJ
Legal business name
JEWISH FAMILY & CHILDREN'S SERVICE OF GREATER MONMOUTH COUNTY
Practice address
705 Summerfield Ave
Asbury Park, NJ 07712-6921
Phone
(732) 774-6886
Fax
(732) 774-8809
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leslie A Kornfeld
Title
Executive Director
Phone
(732) 774-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 100980104 NJ Primary

Addresses

Primary practice location

705 Summerfield Ave
Asbury Park, NJ 07712-6921

Mailing address

705 Summerfield Ave
Asbury Park, NJ 07712-6921
Phone (732) 774-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000200 NJ Part B Supplier - Clinic/Group Practice 0042283962 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Asbury Park, NJ; Eatontown, NJ; Morganville, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Childrens Service of Greater Monmouth County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1 Main St
Ste 104
Eatontown, NJ 07724
Phone (732) 935-1390

170 Broad St
Red Bank, NJ 07701
Phone (732) 758-8200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1164540274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SUMMERFIELD AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126921",
            "telephone_number": "732-774-6886",
            "fax_number": "732-774-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SUMMERFIELD AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126921",
            "telephone_number": "732-774-6886",
            "fax_number": "732-774-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY & CHILDREN'S SERVICE OF GREATER MONMOUTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "KORNFELD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-774-6886"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "100980104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.