First Healthcare Asbury Park LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

558100 Issued in NJ

Legal business name

FIRST HEALTHCARE ASBURY PARK LLC

Doing business as

Jersey Shore Adult Day Health Care Center

Practice address

600 Main St
Asbury Park, NJ 07712-6518

Phone

(732) 869-9090

Fax

(732) 988-2803

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Yaakov Friedman

Title

Managing Member

Phone

(732) 886-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jersey Shore Adult Day Health Care Center Doing business as

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1699806109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 US HIGHWAY 9",
            "address_2": "SUITE 202",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313382",
            "telephone_number": "732-886-1900",
            "fax_number": "732-886-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126518",
            "telephone_number": "732-869-9090",
            "fax_number": "732-988-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HEALTHCARE ASBURY PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "YAAKOV",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-886-1900"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "558100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059340",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Matthew Ryan Fried
• Melissa Ann Gallia, BSW

• Adult Day Care Clinic/Center in Asbury Park, NJ
• Providers in Asbury Park, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.