YMCA of the Jersey Shore
Organization Active NPI Community/Behavioral Health Agency · Freehold, NJ
NPI 1194592634 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1194592634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- YMCA OF THE JERSEY SHORE
- Practice address
- 498 Stillwells Corner Rd
Freehold, NJ 07728-2970 - Phone
- (732) 290-9040
- Fax
- (732) 566-0433
- NPI assigned
- Dec 5, 2023
- Organization subpart
- No
Authorized official
- Name
- Cory Cuomo, LCSW
- Title
- Vice President
- Phone
- (732) 290-9040
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- YMCA of the Jersey Shore
Locations
498 Stillwells Corner Rd
Freehold, NJ 07728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
498 Stillwells Corner Rd
Freehold, NJ 07728-2970
Mailing address
166 Main St
Matawan, NJ 07747-3104
Phone (732) 290-9040
NPI Registry JSON
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752537600000",
"number": "1194592634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 MAIN ST",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077473104",
"telephone_number": "732-290-9040",
"fax_number": "732-566-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 STILLWELLS CORNER RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282970",
"telephone_number": "732-290-9040",
"fax_number": "732-566-0433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YMCA OF THE JERSEY SHORE",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-05",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A",
"authorized_official_last_name": "CUOMO",
"authorized_official_first_name": "CORY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "732-290-9040",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
- Ariana Nicole Yeager
- Sandy Yee
- Inna Yeselson
- Yevgas Precesion Services
- YMCA of Greater Monmouth County
- 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 Freehold, 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.