NPIMap

Organization Active NPI

Monmouth Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Long Branch, NJ
National Provider Identifier
1962841502
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MONMOUTH FAMILY HEALTH CENTER INC
Practice address
335 Broadway
Long Branch, NJ 07740-6901
Phone
(732) 923-7100
Fax
(732) 923-7104
NPI assigned
Jun 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Ms. Andrea Duncan
Title
Director of Patient Accounts
Phone
(732) 413-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

335 Broadway
Long Branch, NJ 07740-6901

Mailing address

270 Broadway
Long Branch, NJ 07740-7027
Phone (732) 923-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001258 NJ Part B Supplier - Clinic/Group Practice 0143291674 Receives reassigned benefits from 36 practitioners
3 other NPIs on this enrollment
Practice locations: Long Branch, NJ

National Provider Directory

National Provider Directory
Tax ID family
Monmouth Family Health Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

335 Broadway
Long Branch, NJ 07740
Phone (732) 451-4030

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1962841502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407027",
            "telephone_number": "732-923-7100",
            "fax_number": "732-923-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406901",
            "telephone_number": "732-923-7100",
            "fax_number": "732-923-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "732-413-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.