JERSEY SHORE UNIVERSITY MEDICAL CENTER PEDI CLINIC (NPI# 1336225499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336225499 |
| Entity Type | Organization |
| Organization Name | JERSEY SHORE UNIVERSITY MEDICAL CENTER PEDI CLINIC |
| Practice Address |
71 Davis Ave Neptune NJ 07753-4401 |
| Practice Telephone | 7327764210 |
| Practice Fax Number | 7327764892 |
| Mailing Telephone | 7327764210 |
| Mailing Fax Number | 7327764892 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM PHILLIP (CFO) |
| Authorized Official Telephone | 7327517520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3388409 | 05 |
| Street Address |
71 DAVIS AVE |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699742478 | Nancy Lynn Winouski | Nurse Practitioner | 71 Davis Ave, Neptune, NJ 07753-4401 | 2006-03-01 |
| 1134445901 | Kimberly Minassian | Dentist | 71 Davis Ave, Neptune, NJ 07753-4401 | 2010-04-19 |
| 1306162177 | Ariel Port | Dentist | 71 Davis Ave, Neptune, NJ 07753-4401 | 2010-04-19 |
| 1386875235 | Thomas A Ramunda | Internal Medicine | 71 Davis Ave, Neptune, NJ 07753-4401 | 2009-07-27 |
| 1225205107 | Brooke Ann Kelly-smith | Dentist | 71 Davis Ave, Neptune, NJ 07753-4401 | 2008-05-10 |
| 1093897654 | Jersey Shore University Medical Center Family Health Center | General Acute Care Hospital | 71 Davis Ave, Neptune, NJ 07753-4401 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295065787 | Meridian Hospitals Corporation | General Acute Care Hospital | 2441 State Highway 33, Fortunato Place, Neptune, NJ 07753-3763 | 2010-01-05 |
| 1790297547 | Hmh Hospitals Corporation | General Acute Care Hospital | 1945 Route 33, Neptune, NJ 07753-4859 | 2017-11-02 |
| 1275964207 | Christina Lynn Carretta | General Acute Care Hospital | 1945 Rte 33, Neptune, NJ 07753-4859 | 2013-12-02 |
| 1447596481 | Meridian Hospitals Corporation Dba Jsumv | General Acute Care Hospital | 1945 Route 33, Neptune, NJ 07753-4859 | 2012-12-19 |
| 1124371786 | Meridian Hospitals Corporation Dba Jsumc | General Acute Care Hospital | 1945 Hwy 33, Jsumc, Neptune, NJ 07753 | 2012-10-19 |
| 1376896290 | Meridian Health | General Acute Care Hospital | 1200 Jumping Brook Rd, Building 5, Suite 201-202, Neptune, NJ 07753-2634 | 2012-10-16 |
| 1306105580 | Meridian Hospitlals Cooperation Dba Jsumc | General Acute Care Hospital | 1945 Hwy 33, Neptune, NJ 07753-4859 | 2012-05-09 |
| 1528276532 | Meridian Hospitals Corporation | General Acute Care Hospital | 1945 State Route 33, Neptune, NJ 07753-4859 | 2007-05-21 |
| 1972679207 | Mary Ann Giejda | General Acute Care Hospital | 1945 State Route 33, Neptune, NJ 07753-4859 | 2006-11-28 |
| 1093897654 | Jersey Shore University Medical Center Family Health Center | General Acute Care Hospital | 71 Davis Ave, Neptune, NJ 07753-4401 | 2006-10-20 |
| Find all providers in NEPTUNE | ||||
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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.