MONMOUTH HEALTHCARE SERVICES, LLC (NPI# 1043847304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043847304 |
| Entity Type | Organization |
| Organization Name | MONMOUTH HEALTHCARE SERVICES, LLC |
| Practice Address |
495 Jack Martin Blvd Ste 6 Brick NJ 08724-7778 |
| Mailing Address |
10 Lincoln Ave Collingswood NJ 08108-3706 |
| Practice Telephone | 8565583250 |
| Mailing Telephone | 8565583250 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | MR. CHRISTOPHER BASS (CEO) |
| Authorized Official Telephone | 8565583250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harbor MAT | Doing Business As Name - Organization |
| Street Address |
495 JACK MARTIN BLVD STE 6 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275851917 | Ocean Monmouth Care, LLC | Clinic/Center | 150 Brick Blvd, Brick, NJ 08723-7182 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295370849 | Resource Center for The Chemically Dependent, Inc. | Clinic/Center | 124 Hampton House Rd, Newton, NJ 07860-2804 | 2019-11-07 |
| 1427602960 | Bravo Medical, LLC | Clinic/Center | 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345 | 2019-08-01 |
| 1295294668 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Rd Bldg 1a, Hamilton, NJ 08619-1204 | 2019-03-15 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1386101483 | Trenton Healthcare, LLC | Clinic/Center | 670 Route 1 N, Iselin, NJ 08830-2629 | 2019-02-25 |
| 1609386135 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 1051 W Sherman Ave Bldg 4, Vineland, NJ 08360-6931 | 2017-10-11 |
| 1972855575 | Spectrum Health Care, Inc. | Clinic/Center | 74 Pacific Ave, Jersey City, NJ 07304-3216 | 2012-10-05 |
| 1962712398 | Middletown Medical, LLC | Clinic/Center | 600 Hwy 35, Red Bank, NJ 07701-5018 | 2010-10-19 |
| 1578725867 | Addiction Recovery Systems Somers Point LLC | Clinic/Center | 408 Bethel Rd Bldg B, Somers Point, NJ 08244-2172 | 2008-06-27 |
| 1902075336 | Pinnacle Treatment Centers Nj I Inc | Clinic/Center | 2001 Route 37 East, Toms River, NJ 08753 | 2008-02-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.