Organization Active NPI

Monmouth County Office on Aging

  • Case Management Agency
  • Freehold, NJ
National Provider Identifier
1255471306
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8053804MedicaidNJ
3053812MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
County Treas County of Monmouth NJ5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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

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.

Verify at the official NPI Registry.