Monmouth County Regional Health Commission #1

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

Legal business name

MONMOUTH COUNTY REGIONAL HEALTH COMMISSION #1

Practice address

1540 W Park Ave Ste 1
Ocean, NJ 07712-3192

Phone

(732) 493-9520

Fax

(732) 493-9525

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Nancy Ippolito

Title

Senior Bookkeeper

Phone

(732) 493-9520

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1831672039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W PARK AVE STE 1",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123192",
            "telephone_number": "732-493-9520",
            "fax_number": "732-493-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W PARK AVE STE 1",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123192",
            "telephone_number": "732-493-9520",
            "fax_number": "732-493-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH COUNTY REGIONAL HEALTH COMMISSION #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "IPPOLITO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SENIOR BOOKKEEPER",
        "authorized_official_telephone_number": "732-493-9520"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285843581",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Case Management Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.