Organization Active NPI

Shore Behavioral Healthcare, Inc.

  • Psychiatry Physician
  • Linwood, NJ
National Provider Identifier
1891025672
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07531400 Issued in NJ
Legal business name
SHORE BEHAVIORAL HEALTHCARE, INC.
Practice address
199 New Rd Ste 62
Linwood, NJ 08221-2025
Phone
(609) 226-1261
Fax
(888) 487-0032
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Dr. Inua A. Momodu, M.D., M.P.H.NPI 1518067255
Title
Medical Director
Phone
(609) 402-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00309400 NJ
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05007700 NJ
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 25MA07531400 NJ Primary

Addresses

Primary practice location

199 New Rd Ste 62
Linwood, NJ 08221-2025

Mailing address

199 New Rd Ste 62
Linwood, NJ 08221-2025
Phone (609) 226-1261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260302001026 NJ Part B Supplier - Clinic/Group Practice 3870075757 Receives reassigned benefits from 1 practitioner
Practice locations: Linwood, NJ

National Provider Directory

National Provider Directory

Locations

2021 New Rd
Ste 15
Linwood, NJ 08221
Phone (609) 226-1261

199 New Rd
Ste 62
Linwood, NJ 08221
Phone (609) 926-3331

333 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 377-8118

Practitioners & affiliated clinicians

Practitioners 2

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1891025672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW RD STE 62",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-226-1261",
            "fax_number": "888-487-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NEW RD STE 62",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212025",
            "telephone_number": "609-226-1261",
            "fax_number": "888-487-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "MOMODU",
        "authorized_official_first_name": "INUA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-402-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00309400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05007700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07531400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.