NPIMap

Organization Active NPI

Monmouth Medical Center Inc

  • Psychiatric Hospital Unit
  • Long Branch, NJ
National Provider Identifier
1497900781
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
11304 Issued in NJ
Legal business name
MONMOUTH MEDICAL CENTER INC
Practice address
300 2ND Ave
Long Branch, NJ 07740-6303
Phone
(732) 923-5000
Fax
(732) 923-6294
NPI assigned
Dec 1, 2008
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RWJ BARNABAS HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Mr. Eric Carney
Title
Ceo
Phone
(732) 923-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 11304 NJ Primary

Addresses

Primary practice location

300 2ND Ave
Long Branch, NJ 07740-6303

Mailing address

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 923-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monmouth@direct.rwjbh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210524001835 NJ Part A Provider - Hospital 3274543954 Practice locations: Long Branch, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497900781. Details of each certification follow.

Hospital certification: CCN 31S075

Legal name
MONMOUTH MEDICAL CENTER, INC
Doing business as
MONMOUTH MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
300 2ND Ave
Long Branch, NJ 77406303
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

4013 US Highway 9
Ste 2S
Howell, NJ 07731
Phone (646) 522-9402

57 Kent Rd
Howell, NJ 07731
Phone (732) 364-1505

3301 Highway 66
#B
Neptune, NJ 07753
Phone (732) 922-1042

3301 Highway 66
#B201
Neptune, NJ 07753
Phone (732) 922-1042

100 State Route 36
Ste 1M
West Long Branch, NJ 07764
Phone (732) 222-6046

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Henwood Individual Corporate Director Jan 1, 1998
W-2 Managing Employee Jan 1, 1998
Eric Carney Individual Corporate OfficerCeo Jan 1, 2024
Rwjbh Corporate Services Inc Organization, West Orange, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
RWJ Barnabas Health Inc Organization, West Orange, NJ Corporation, Non-profit, Chain home office Operational/Managerial Control Apr 1, 2016 100%
Mark E Manigan Individual Corporate OfficerPresident Jan 1, 2024
Nikolas Alexiades Individual Corporate OfficerCfo Jan 1, 2024

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of Tinton Falls, a Joint VentTinton Falls, NJ, CCN 313035 Hospital 5% Or Greater Direct Ownership Interest (25%) Jan 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1497900781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-923-5000",
            "fax_number": "732-923-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-923-5000",
            "fax_number": "732-923-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RWJ BARNABAS HEALTH INC",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-923-7507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": "11304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monmouth@direct.rwjbh.org",
            "affiliation": "N",
            "address_1": "300 2nd Ave",
            "city": "Long Branch",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077406303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.