NPIMap

Organization Active NPI

YMCA of the Jersey Shore

  • Community/Behavioral Health Agency
  • North Middletown, NJ
National Provider Identifier
1508304841
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100052405 Issued in NJ
Legal business name
YMCA OF THE JERSEY SHORE
Practice address
235 Ocean Ave
North Middletown, NJ 07748-5669
Phone
(732) 290-9040
Fax
(732) 566-0433
NPI assigned
Feb 7, 2017
Organization subpart
No

Authorized official

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

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

235 Ocean Ave
North Middletown, NJ 07748

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100052405 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

235 Ocean Ave
North Middletown, NJ 07748-5669

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0411302MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2025.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1508304841",
    "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": "235 OCEAN AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485669",
            "telephone_number": "732-290-9040",
            "fax_number": "732-566-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF THE JERSEY SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-290-9040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "100052405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.