NPIMap

Organization Active NPI

Meridian Hospitals Corporation, Inc. Dba Jersey Shore University Medic

Doing business as Jersey Shore University Medical Center

  • Psychiatry Physician
  • Neptune, NJ
National Provider Identifier
1679680243
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MERIDIAN HOSPITALS CORPORATION, INC. DBA JERSEY SHORE UNIVERSITY MEDIC
Doing business as
Jersey Shore University Medical Center
Practice address
1945 Route 33
Neptune, NJ 07753
Phone
(732) 643-4363
NPI assigned
Aug 23, 2006
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Mr. Robert Palermo
Title
VP Finance
Phone
(732) 751-3342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1945 Route 33
Neptune, NJ 07753

Mailing address

1200 Jumping Brook Rd
BLDG 5, Ste 201, Attn: Behavioral Health Credentialing
Neptune, NJ 07753
Phone (732) 643-4372

Other names 1

  • Jersey Shore University Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1679680243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JUMPING BROOK RD",
            "address_2": "BLDG 5, STE 201, ATTN: BEHAVIORAL HEALTH CREDENTIALING",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-643-4372",
            "fax_number": "732-643-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-643-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HOSPITALS CORPORATION, INC. DBA JERSEY SHORE UNIVERSITY MEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "732-751-3342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore University Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.