Active NPI
Monmouth County Office on Aging
- Case Management Agency
- Freehold, NJ
National Provider Identifier
1255471306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MONMOUTH COUNTY OFFICE ON AGING
- Practice address
- 21 Main St
Freehold, NJ 07728-1255 - Phone
- (732) 431-7450
- Fax
- (732) 303-7649
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John A Wanat
- Title
- Executive Director
- Phone
- (732) 431-7450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
21 Main St
Freehold, NJ 07728-1255
Mailing address
21 Main St
Freehold, NJ 07728-1255
Phone (732) 431-7450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053804 | Medicaid | NJ | |
| 3053812 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- County Treas County of Monmouth NJ
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Freehold, NJ
- NPI 1255778486
-
- Developmentally Disabled Services Day Training Agency
- Lincroft, NJ
- NPI 1154775252
-
- Case Management Agency
- Ocean Township, NJ
- NPI 1598977399
-
- Case Management Agency
- Freehold, NJ
- NPI 1932321841
Locations
21 W Main St
Freehold, NJ 07728
Phone (732) 431-7450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255471306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077281255",
"telephone_number": "732-431-7450",
"fax_number": "732-303-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077281255",
"telephone_number": "732-431-7450",
"fax_number": "732-303-7649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONMOUTH COUNTY OFFICE ON AGING",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WANAT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "732-431-7450",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053804",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3053812",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
- Carol Monaci, PHD
- Monarch Therapy Services, LLC
- Lucinda M Monica, PSYD
- Monmouth Advanced Medicine LLC
- Monmouth County Division of Social Services
- Monmouth Family Medicine Group, P.a.
- Monmouth Ocean Pulmonary Medicine, LLC
- Monmouth Schroth Scoliosis Physical Therapy LLC
- Monmouth Spine Surgery Inc
- Victor Anthony Montanaro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.