Centrastate Medical Center, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRASTATE MEDICAL CENTER, INC

Practice address

901 W Main St
Freehold, NJ 07728-2549

Phone

(732) 294-7012

NPI assigned

Dec 19, 2022

Organization subpart

Yes

Parent organization

CENTRASTATE MEDICAL CENTER, INCAs reported in NPPES

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

Authorized official

Name

Deborah Connors

Title

Vice President, Revenue Cycle

Phone

(732) 294-7052

Specialties & licenses 1

Addresses

Other names 1

• Laboratory of CentraState Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cesar R Quezada MD4 organizations share this tax ID, including this one

Part of

Cesar R Quezada MD

Other organizations with this tax ID 3

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

• Centrastate Medical Center, Inc

  • Family Medicine Physician
  • Freehold, NJ
  • NPI 1023434529
  NPD tax ID
• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450
  NPD tax ID
• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1861891913
  NPD tax ID

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1699487801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WEST MAIN ST",
            "address_2": "BUSINESS OFFICE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-294-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282549",
            "telephone_number": "732-294-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRASTATE MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRASTATE MEDICAL CENTER, INC",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "732-294-7052"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratory of CentraState Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centrastate Medical Associates PC
• Centrastate Medical Center
• Centrastate Medical Center Inc.
• Centrastate Medical Center, Inc
• Centrastate Medical Center, Inc
• Centrastate Medical Center, Inc
• Centrastate Specialists, P.C.
• Mary Ann Cernak, PH.D., LCSW
• CFNT LLC
• Doh Yoon Cha, M.D.

• Clinical Medical Laboratory in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.