NPIMap

Organization Active NPI

The Samaritan Center at the Jersey Shore

  • Professional Counselor
  • Manasquan, NJ
National Provider Identifier
1790029619
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00443500 Issued in NJ
Legal business name
THE SAMARITAN CENTER AT THE JERSEY SHORE
Practice address
36 South St
Manasquan, NJ 08736-3440
Phone
(732) 223-4673
Fax
(732) 722-7867
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Irma Geib, RN
Title
Executive Director
Phone
(732) 223-4673

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 37AC00068100 NJ
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 37AC00120300 NJ
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00103300 NJ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00443500 NJ Primary

Addresses

Primary practice location

36 South St
Manasquan, NJ 08736-3440

Mailing address

36 South St
Manasquan, NJ 08736-3440
Phone (732) 223-4673

National Provider Directory

National Provider Directory

Locations

36 South St
Manasquan, NJ 08736
Phone (732) 223-4673

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1790029619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SOUTH ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363440",
            "telephone_number": "732-223-4673",
            "fax_number": "732-722-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SOUTH ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363440",
            "telephone_number": "732-223-4673",
            "fax_number": "732-722-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAMARITAN CENTER AT THE JERSEY SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "GEIB",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-223-4673",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00068100",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00120300",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00103300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00443500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.