Visiting Nurse Association of Central Jersey Community Health Center I
Organization Active NPI Federally Qualified Health Center (FQHC) · Red Bank, NJ
NPI 1699712166 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1699712166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 23983 (NJ)
- Legal business name
- VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER I
- Practice address
- 64-66 Bridge Avenue
Red Bank, NJ 07701 - Phone
- (732) 219-6620
- Fax
- (732) 219-6625
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Jessica Perez
- Title
- Credentialing Contact
- Phone
- (732) 776-3915
Owners & managing parties with NPI records 1
-
Ian Leber, MD
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Practitioners 50
-
Tangie Keri Calascione, FNP-BC
-
Patricia R Garduno, APN
-
Zeeshan Khan, M.D.
-
Valbona Tonuzi, APN
-
Karen Anderson, APN
-
Geoffrey Edward Bossio, D.C.
-
Maria F. Ciminelli, M.D.
-
Patricia A Dempsey, APN
-
Mercedes Echevarria, APN
-
Mervin Griffin, MD
-
Janet Henderson, APN
-
Kehinde Williams Ibitola, APRN, FNP-C
-
Katherine Lang, APN, FNP-BC
-
Sajida Habib Mokhashi, M.D.
-
Cesar A Pulgarin, MSN, FNP-C
-
Taru Sinha, MD
-
Kathleen M Stefek, APN
-
Eric Tan, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Federally qualified health center certification: CCN 311865
- Legal name
- VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER I
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 20, 2006
- Last certification
- Oct 20, 2006
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 14, 1994 in NJ
- Enrollment address
- 64-66 Bridge Ave
Red Bank, NJ 77012162
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin Gerard Rogers |
Corporate Officer |
Jan 1, 2021 | |
| Jessica Perez |
W-2 Managing Employee | Jun 16, 2016 | |
| John Thomas Zim |
Corporate Director |
Jun 19, 2023 | |
| W-2 Managing Employee |
Jun 19, 2023 | ||
| Debra Giordano |
Corporate Director |
Mar 1, 2006 | |
| Venkatesswara Malladi |
Corporate Director |
Jun 24, 2013 | |
| Beatriz Oesterheld |
Corporate Director |
Oct 22, 2012 | |
| Liza Dejesus |
Corporate Director |
May 21, 2012 | |
| Ian Brett Leber |
Corporate Officer |
Jul 1, 2023 | |
| W-2 Managing Employee |
Jul 1, 2023 | ||
| Lynn Miller |
Corporate Director |
Jul 26, 2010 | |
| Heather Schulze |
Corporate Director |
Jan 1, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040107000585 | NJ | Part B Supplier - Clinic/Group Practice | 1456250679 |
Receives reassigned benefits from 91 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Asbury Park, NJ; Freehold, NJ; Keyport, NJ; Red Bank, NJ |
| O20060830000469 | NJ | Part a Provider - Federally Qualified Health Center (FQHC) | 1456250679 | Practice locations: Red Bank, NJ |
National Provider Directory
- Tax ID family
- Visiting Nur Assoc of NJ
Locations
188 E Bergen Pl
Ste 302
Red Bank, NJ 07701
Phone (732) 219-6620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 23983 | NJ | Yes |
Addresses
Primary practice location
64-66 Bridge Avenue
Red Bank, NJ 07701
Mailing address
1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 776-3915
Other practice location 1
188 E Bergen Pl Ste 302
Red Bank, NJ 07701-2162
Phone (732) 219-6620
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119130 | Medicaid | NJ |
Other names
- Red Bank Primary Care Center
Other providers in Red Bank, NJ
- Jason M Victor
- Vijayalaxmi Varadarajan MD PC
- Patricia Villany
- Vera Veronica Viran
- Lauren Viscusi
- Visiting Nurse Association of Central Jersey Personal Care, Inc
- Amelia Rose Vitale
- Tatum Ann Vitale
- Vitality Integrative Health & Acupuncture LLC
- VLR Med LLC
All providers in Red Bank, NJ · Federally Qualified Health Center (FQHC) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.