NPIMap

Organization Active NPI

Jersey Shore University Medical Center

  • Critical Access Hospital
  • Asbury Park, NJ
National Provider Identifier
1811005176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
44SW00942700 Issued in NJ
Legal business name
JERSEY SHORE UNIVERSITY MEDICAL CENTER
Practice address
1011 Bond St
Asbury Park, NJ 07712-5939
Phone
(732) 869-2761
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Sullivan
Title
Clinical Program Supervisor
Phone
(732) 869-2781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 44SW00942700 NJ Primary

Addresses

Primary practice location

1011 Bond St
Asbury Park, NJ 07712-5939

Mailing address

1113 Minnehaha TRL
Manasquan, NJ 08736-2020
Phone (732) 223-2210

Other names 1

  • behavioral health Other name

National Provider Directory

National Provider Directory
Tax ID family
Jersey Shore University Medical Center Pedi Clinic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811005176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MINNEHAHA TRL",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362020",
            "telephone_number": "732-223-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOND ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125939",
            "telephone_number": "732-869-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CLINICAL PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "732-869-2781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NJ",
            "license": "44SW00942700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "behavioral health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.