MONMOUTH MEDICAL CENTER INC (NPI# 1225133473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225133473 |
| Entity Type | Organization |
| Organization Name | MONMOUTH MEDICAL CENTER INC |
| Other Organization Name | MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS |
| Practice Address |
600 River Ave Lakewood NJ 08701-5237 |
| Practice Telephone | 7323631900 |
| Mailing Telephone | 7323631900 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | DAVID W. MCCLUNG (CFO) |
| Authorized Official Telephone | 7329237181 |
| Is Organization Subpart | Y |
| Parent Organization Name | BARNABAS HEALTH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 10502 | NJ | Hospitals |
| Y | 282N00000X | General Acute Care Hospital | 11502 | NJ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3676200 | 05 |
| Other Name | Type Code |
|---|---|
| Monmouth Medical Center Southern Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497900781 | Monmouth Medical Center Inc | Psychiatric Unit | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2008-12-01 |
| 1609983790 | Monmouth Medical Center Inc | Psychiatric Unit | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2006-08-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MONMOUTH MEDICAL CENTER INC. | 300 2nd Ave, Long Branch, NJ 07740-6303 |
| Street Address |
600 RIVER AVE |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376317 | Acutecare Health System LLC | General Acute Care Hospital | 600 River Ave, 4 West, Lakewood, NJ 08701-5237 | 2005-06-17 |
| 1740819168 | Courtney Marie Keville | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2020-04-07 |
| 1689143208 | Nicole M Kissam | Social Worker | 600 River Ave, Lakewood, NJ 08701-5237 | 2018-11-14 |
| 1063944643 | Kate Bianchini | Registered Nurse | 600 River Ave, Lakewood, NJ 08701-5237 | 2017-04-01 |
| 1770027138 | Michael Olukotun | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-12-05 |
| 1154870202 | Jaclyn Beck | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-09-30 |
| 1245682491 | Garima Kalra | Internal Medicine | 600 River Ave, Lakewood, NJ 08701 | 2016-07-11 |
| 1588018840 | Lakewood Hospitalists | Psychiatry & Neurology | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-04-22 |
| 1568821981 | Allyson Walsh | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-02-12 |
| 1588047781 | Hilary Fuirita | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2015-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
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| 1740820273 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 255 S Routt St Ste 300, Lakewood, CO 80228-2354 | 2020-01-13 |
| 1275900185 | Ms. Lynn A .darr | General Acute Care Hospital | 1333 Cook Ave, Lakewood, OH 44107-2567 | 2015-08-26 |
| 1578718268 | Long Beach Veterans Administration Medical Center | General Acute Care Hospital | 6317 Seaborn St, Lakewood, CA 90713-2617 | 2008-11-21 |
| 1194865147 | Los Angeles County King Drew Medical Center | General Acute Care Hospital | 4505 Fairway Dr, Lakewood, CA 90712-3430 | 2007-02-07 |
| 1750441010 | Jersey Shore University Medical Center | General Acute Care Hospital | 462a Portsmouth Dr, Lakewood, NJ 08701-6518 | 2006-12-09 |
| 1801996665 | Vamc Long Beach | General Acute Care Hospital | 4725 Hayter Ave, Lakewood, CA 90712-3508 | 2006-09-22 |
| 1689672693 | Saint Clare Hospital | General Acute Care Hospital | 11315 Bridgeport Way Sw, Lakewood, WA 98499 | 2005-07-13 |
| 1659376317 | Acutecare Health System LLC | General Acute Care Hospital | 600 River Ave, 4 West, Lakewood, NJ 08701-5237 | 2005-06-17 |
| 1316452725 | Catholic Health Iniatives Colorado | General Acute Care Hospital | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2017-12-07 |
| Find all providers in LAKEWOOD | ||||
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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.