NPIMap

Organization Active NPI

YMCA of the Jersey Shore

  • Community/Behavioral Health Agency
  • Eatontown, NJ
National Provider Identifier
1740832567
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YMCA OF THE JERSEY SHORE
Practice address
3 Grant Ave
Eatontown, NJ 07724-1309
Phone
(732) 290-9040
NPI assigned
Jul 11, 2019
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Cory Cuomo, LCSW
Title
Vice President
Phone
(732) 290-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3 Grant Ave
Eatontown, NJ 07724-1309

Mailing address

166 Main St
Matawan, NJ 07747-3104

Other identifiers 1

IdentifierTypeStateIssuer
0694363MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
YMCA of the Jersey Shore129 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3 Grant Ave
Eatontown, NJ 07724

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1740832567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GRANT AVE",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241309",
            "telephone_number": "732-290-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF THE JERSEY SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-290-9040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0694363",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.