NPIMap

Organization Active NPI

Jewish Family & Children's Service of Greater Monmouth County

  • Clinic/Center
  • Morganville, NJ
National Provider Identifier
1518664341
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JEWISH FAMILY & CHILDREN'S SERVICE OF GREATER MONMOUTH COUNTY
Practice address
25 Kilmer Dr Ste 212
Morganville, NJ 07751-1561
Phone
(732) 774-6886
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Ms. Leslie A Kornfeld
Title
Executive Director
Phone
(732) 774-6886

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

25 Kilmer Dr Ste 212
Morganville, NJ 07751-1561

Mailing address

705 Summerfield Ave
Asbury Park, NJ 07712-6921
Phone (732) 774-6886

Other identifiers 2

IdentifierTypeStateIssuer
100980204OtherNJSTATE OF NEW JERSEY DEPARTMENT OF HEALTH
0535826MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

25 Kilmer Dr
Ste 212
Morganville, NJ 07751
Phone (732) 536-0050

Practitioners & affiliated clinicians

Practitioners 3

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": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1518664341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SUMMERFIELD AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126921",
            "telephone_number": "732-774-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR STE 212",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511561",
            "telephone_number": "732-774-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY & CHILDREN'S SERVICE OF GREATER MONMOUTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "KORNFELD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-774-6886",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEY DEPARTMENT OF HEALTH",
            "identifier": "100980204",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535826",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.