NPIMap

Organization Active NPI

Long Beach Island Community Center

  • Community/Behavioral Health Agency
  • Long Beach Township, NJ
National Provider Identifier
1942484720
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LONG BEACH ISLAND COMMUNITY CENTER
Practice address
4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926
Phone
(609) 494-8861
Fax
(609) 494-1882
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LONG BEACH ISLAND COMMUNITY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mr. Robert T. Hazlett, PH.D, LCSWNPI 1750327912
Title
Executive Director
Phone
(609) 494-8861

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926

Mailing address

4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926
Phone (609) 494-8861

Other names 1

  • St. Francis Community Center Other name

National Provider Directory

National Provider Directory
Part of
Long Beach Island Community Center Inc

Locations

4700 Long Beach Blvd
Long Beach Township, NJ 08008
Phone (609) 494-1554

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1942484720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080083926",
            "telephone_number": "609-494-8861",
            "fax_number": "609-494-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LONG BEACH BLVD",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080083926",
            "telephone_number": "609-494-8861",
            "fax_number": "609-494-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH ISLAND COMMUNITY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG BEACH ISLAND COMMUNITY CENTER",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "HAZLETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-494-8861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Community Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.