NPIMap

Organization Active NPI

Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Long Branch, NJ
National Provider Identifier
1609983790
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11304 Issued in NJ
Legal business name
MONMOUTH MEDICAL CENTER INC
Practice address
300 2ND Avenue
Long Branch, NJ 07740-6303
Phone
(732) 923-5000
Fax
(732) 923-2272
NPI assigned
Aug 24, 2006
Last updated
Sep 30, 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 Sep 30, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 11304 NJ
General Acute Care Hospital 282N00000X 11304 NJ Primary

Addresses

Primary practice location

300 2ND Avenue
Long Branch, NJ 07740-6303

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3675807MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address monmouth@direct.rwjbh.org
Direct Messaging Address monmouth@direct.rwjbh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080623000507 NJ Part A Provider - Hospital 3274543954 Practice locations: Long Branch, NJ; West Long Branch, NJ; Oakhurst, NJ; Neptune, NJ; Howell, NJ; Eatontown, NJ; Colts Neck, NJ
O20140731002418 NJ Part A Provider - Hospital 3274543954 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, NJ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1609983790. Details of each certification follow.

Hospital certification: CCN 310075

Legal name
MONMOUTH MEDICAL CENTER, INC
Doing business as
MONMOUTH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 30, 2023
Beds
483
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1998 in NJ
Enrollment address
300 Second Ave
Long Branch, NJ 77406303
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 310084

Legal name
MONMOUTH MEDICAL CENTER, INC
Doing business as
MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 24, 2021
Beds
285
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1998 in NJ
Enrollment address
600 River Ave
Lakewood, NJ 87015237
Main/Primary Hospital Location
Hospital subgroups
Acute care

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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Monmouth Medical CenterCCN 310075 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Hospital

Medicare Care Compare
Listed as
Monmouth Medical Center-Southern CampusCCN 310084 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: monmouth@direct.rwjbh.org

Ownership & related parties

All disclosed owners & managing parties 5

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 W-2 Managing EmployeeVP Corp Reimbursement Jan 1, 2013
Eric Carney Individual Corporate OfficerCeo Jan 1, 2019
Corporate OfficerCeo Mar 28, 2022
RWJ Barnabas Health Inc Organization, West Orange, NJ Corporation, Non-profit Operational/Managerial Control Jun 1, 1996
Operational/Managerial Control Apr 1, 2016 100%
Mark E Manigan Individual Corporate OfficerPresident Jan 1, 2023
Nikolas Alexiades Individual Corporate OfficerRegional Cfo Jan 1, 2019
Corporate OfficerCfo Jan 1, 2019

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 100

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.

View all 100

Affiliated clinicians 1,133

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,133

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1609983790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVENUE",
            "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 AVENUE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-923-5000",
            "fax_number": "732-923-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RWJ BARNABAS HEALTH INC",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "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": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "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"
        },
        {
            "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.