NPIMap

Organization Active NPI

Keller Army Community Hospital

Doing business as Patterson Ahc

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Monmouth, NJ
National Provider Identifier
1912006685
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
KELLER ARMY COMMUNITY HOSPITAL
Doing business as
Patterson Ahc
Practice address
BLDG. 1075 Stephenson Ave.
Ft. Monmouth, NJ 07703
Phone
(845) 938-8239
NPI assigned
Sep 21, 2006
Last updated
Apr 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
KELLER ARMY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Kenneth Tuffy
Title
Ubo Manager
Phone
(845) 938-8239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

BLDG. 1075 Stephenson Ave.
Ft. Monmouth, NJ 07703

Mailing address

900 Washington Rd
Attn McUd-RMD-Ubo
West Point, NY 10996-1197
Phone (845) 938-8239

Other identifiers 1

IdentifierTypeStateIssuer
1528161916OtherPARENT FACILITY NPI

Other names 1

  • PATTERSON AHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ach Keller-West Point13 organizations share this tax ID, including this one
Part of
Ach Keller-West Point

Other organizations with this tax ID 12

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1912006685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "address_2": "ATTN MCUD-RMD-UBO",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961197",
            "telephone_number": "845-938-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG. 1075 STEPHENSON AVE.",
            "city": "FT. MONMOUTH",
            "state": "NJ",
            "postal_code": "07703",
            "telephone_number": "845-938-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLER ARMY COMMUNITY HOSPITAL",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "TUFFY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "845-938-8239"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1528161916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTERSON AHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Monmouth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.