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YMCA of the Jersey Shore

Organization Active NPI Community/Behavioral Health Agency · Eatontown, NJ

NPI 1295387017 · NPPES record last updated Jul 15, 2025

Key facts

NPI
1295387017
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
YMCA OF THE JERSEY SHORE
Practice address
65 Raleigh CT
Eatontown, NJ 07724-2149
Phone
(732) 290-9040
NPI assigned
Jul 11, 2019
Organization subpart
No

Authorized official

Name
Cory Cuomo, LCSW
Title
Vice President
Phone
(732) 290-9040

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
YMCA of the Jersey Shore (129 organizations share this tax ID)

Locations

65 Raleigh Ct
Eatontown, NJ 07724

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

65 Raleigh CT
Eatontown, NJ 07724-2149

Mailing address

166 Main St
Matawan, NJ 07747-3104

Other identifiers

IdentifierTypeStateIssuer
0694355MedicaidNJ

Other providers in Eatontown, NJ

All providers in Eatontown, NJ · Community/Behavioral Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.