NPIMap

Organization Active NPI

Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
National Provider Identifier
1861891913
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11302 Issued in NJ
Legal business name
CENTRASTATE MEDICAL CENTER, INC
Practice address
901 W Main St
Business Office
Freehold, NJ 07728-2537
Phone
(732) 294-7012
Fax
(732) 303-9251
NPI assigned
Aug 14, 2014
Organization subpart
Yes
Parent organization
CENTRASTATE MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Deborah Connors
Title
Vice President, Revenue Cycle
Phone
(732) 294-7052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11302 NJ Primary

Addresses

Primary practice location

901 W Main St
Business Office
Freehold, NJ 07728-2537

Mailing address

901 W Main St
Business Office
Freehold, NJ 07728-2537
Phone (732) 294-7012

Other identifiers 1

IdentifierTypeStateIssuer
310111OtherNJMEDICARE PTAN

Other names 1

  • CentraState Medical Center, home sleep studies Other name

National Provider Directory

National Provider Directory
Tax ID family
Cesar R Quezada MD4 organizations share this tax ID, including this one
Part of
Cesar R Quezada MD

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1861891913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "BUSINESS OFFICE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-7012",
            "fax_number": "732-303-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "BUSINESS OFFICE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-7012",
            "fax_number": "732-303-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRASTATE MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRASTATE MEDICAL CENTER, INC",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "732-294-7052"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "11302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "310111",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentraState Medical Center, home sleep studies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.