Monmouth Healthcare Services, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

MONMOUTH HEALTHCARE SERVICES, LLC

Practice address

495 Jack Martin Blvd
Brick, NJ 08724-7778

Phone

(732) 344-0596

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Christopher Bass

Title

Owner

Phone

(856) 558-3250

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Harbor Mat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Monmouth Healthcare Services

  • Methadone Clinic
  • Brick, NJ
  • NPI 1043847304
  NPD tax ID

Practitioners 1

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

• Karen A Nepsha, LPC, LCADC, CCS

  • Mental Health Counselor
  • Bayville, NJ
  • NPI 1578164471
  NPD

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1316535180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-344-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-344-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-558-3250"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0744611",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Moffler
• Brittany Arielle Mok, AUD
• Amy Marie Moll, PHARMD, CCP
• Nga Nguyen Molte, MD
• Monmouth Healthcare Services
• Monmouth Infectious Disease Associates, LLC
• Monmouth Integrative Counseling of Brick, LLC
• Monmouth Ocean Medical Services, LLC
• Karyn M Montgomery, M.D.
• David Francis Moore, M.D., PH.D., FAAN

• Methadone Clinic in Brick, NJ
• Providers in Brick, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.