Active NPI
Unity Place of Monmouth County
- Substance Abuse Rehabilitation Facility
- Fort Monmouth, NJ
National Provider Identifier
1730698143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- UNITY PLACE OF MONMOUTH COUNTY
- Practice address
- 1075 Stephenson Ave
Fort Monmouth, NJ 07703-1518 - Phone
- (848) 208-2636
- NPI assigned
- Sep 28, 2017
- Last updated
- Oct 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Tischler
- Title
- Authorized Official
- Phone
- (347) 242-6502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | NU | Primary |
Addresses
Primary practice location
1075 Stephenson Ave
Fort Monmouth, NJ 07703-1518
Mailing address
821 Woodland Dr
Lakewood, NJ 08701-3038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0493210 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Adult Mental Health Clinic/Center
- Oceanport, NJ
- NPI 1942604558
O20251106000015
National Provider Directory
National Provider Directory- Tax ID family
- Unity Place of Monmouth County
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Oceanport, NJ
- NPI 1104335488
-
- Adult Mental Health Clinic/Center
- Oceanport, NJ
- NPI 1942604558
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatry Physician
- Somerville, NJ
- NPI 1376517052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1730698143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 WOODLAND DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 STEPHENSON AVE",
"city": "FORT MONMOUTH",
"state": "NJ",
"postal_code": "077031518",
"telephone_number": "848-208-2636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY PLACE OF MONMOUTH COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-28",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "TISCHLER",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "347-242-6502"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0493210",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Monmouth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.