NPIMap

Organization Active NPI

YMCA of the Jersey Shore

  • Community/Behavioral Health Agency
  • Jackson, NJ
National Provider Identifier
1417436544
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1000054704 Issued in NJ
Legal business name
YMCA OF THE JERSEY SHORE
Practice address
35 S Hope Chapel Rd
Jackson, NJ 08527-5019
Phone
(732) 290-9040
Fax
(732) 566-0433
NPI assigned
Aug 9, 2018
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Cory Cuomo, LCSW
Title
Vice President
Phone
(732) 299-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1000054704 NJ Primary

Addresses

Primary practice location

35 S Hope Chapel Rd
Jackson, NJ 08527-5019

Mailing address

166 Main St
Matawan, NJ 07747-3104
Phone (732) 290-9040

Other identifiers 1

IdentifierTypeStateIssuer
0663875MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
YMCA of the Jersey Shore129 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

35 S Hope Chapel Rd
Jackson, NJ 08527

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1417436544",
    "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": "35 S HOPE CHAPEL RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275019",
            "telephone_number": "732-290-9040",
            "fax_number": "732-566-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF THE JERSEY SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-299-9040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "1000054704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0663875",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.