YMCA of the Jersey Shore
Organization Active NPI Community/Behavioral Health Agency · Cliffwood, NJ
NPI 1922546167 · NPPES record last updated Jul 16, 2025
Key facts
- NPI
- 1922546167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 10000521304 (NJ)
- Legal business name
- YMCA OF THE JERSEY SHORE
- Practice address
- 469 Matawan Ave
Cliffwood, NJ 07721-1203 - Phone
- (732) 290-9040
- Fax
- (732) 566-0433
- NPI assigned
- Feb 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Cory Cuomo, LCSW
- Title
- Vice President
- Phone
- (732) 290-9040
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- YMCA of the Jersey Shore
Locations
469 Matawan Ave
Cliffwood, NJ 07721
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 10000521304 | NJ | Yes |
Addresses
Primary practice location
469 Matawan Ave
Cliffwood, NJ 07721-1203
Mailing address
166 Main St
Matawan, NJ 07747-3104
Phone (732) 290-9040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0594831 | Medicaid | NJ |
Other providers in Cliffwood, NJ
- Top Care Services
- Jasmine Towler
- Anna Vergara
- Jamila Doreen Vidal
- YMCA of the Jersey Shore
- Andrew Joseph Youssouf
All providers in Cliffwood, NJ · Community/Behavioral Health Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.