Monmouth Medical Center Inc
Organization Active NPI Psychiatric Hospital Unit · Long Branch, NJ
NPI 1497900781 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1497900781
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- License
- 11304 (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
- Organization subpart
- Yes
- Parent organization (as reported)
- RWJ BARNABAS HEALTH INC
Authorized official
- Name
- Mr. Eric Carney
- Title
- Ceo
- Phone
- (732) 923-7507
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Related certifications (CCN) 1
Facilities with the same owner 20
Practitioners 8
-
Murielle Ahawo, MD
-
Maher Awad, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Hospital certification: CCN 31S075
- Legal name
- MONMOUTH MEDICAL CENTER, INC
- Doing business as
- MONMOUTH MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 300 2ND Ave
Long Branch, NJ 77406303 - Hospital subgroups
- Psychiatric unit
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Henwood |
Corporate Director | Jan 1, 1998 | |
| W-2 Managing Employee | Jan 1, 1998 | ||
| Eric Carney |
Corporate Officer |
Jan 1, 2024 | |
| Rwjbh Corporate Services Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| RWJ Barnabas Health Inc |
Operational/Managerial Control | Apr 1, 2016 | 100% |
| Mark E Manigan |
Corporate Officer |
Jan 1, 2024 | |
| Nikolas Alexiades |
Corporate Officer |
Jan 1, 2024 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Tinton Falls, a Joint Vent |
Hospital | 5% Or Greater Direct Ownership Interest (25%) | Jan 1, 2003 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210524001835 | NJ | Part a Provider - Hospital | 3274543954 | Practice locations: Long Branch, NJ |
National Provider Directory
Locations
3301 Highway 66
#B201
Neptune, NJ 07753
Phone (732) 922-1042
444 Neptune Blvd
Unit 2
Neptune, NJ 07753
Phone (732) 774-0436
3301 Highway 66
#B
Neptune, NJ 07753
Phone (732) 922-1042
100 State Route 36
Ste 1M
West Long Branch, NJ 07764
Phone (732) 222-6046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 11304 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3675807 | Medicaid | NJ |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | monmouth@direct.rwjbh.org |
NPI Registry JSON
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3675807",
"state": "NJ"
}
],
"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
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- Monmouth Medical Center Inc
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- Monmouth Medical Imaging, PA
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All providers in Long Branch, NJ · Psychiatric Hospital Unit in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.