JERSEY SHORE UNIVERSITY MEDICAL CENTER (NPI# 1962809756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962809756 |
| Entity Type | Organization |
| Organization Name | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| Practice Address |
1945 Route 33 Neptune NJ 07753-4859 |
| Practice Telephone | 7327762325 |
| Mailing Telephone | 7327762325 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | MS. SANDRA O OPOKU (CLINICAL THERAPIST) |
| Authorized Official Telephone | 7327762325 |
| Authorized Official Credential | MSW, LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750441010 | Jersey Shore University Medical Center | General Acute Care Hospital | 462a Portsmouth Dr, Lakewood, NJ 08701-6518 | 2006-12-09 |
| 1295838126 | Jersey Shore University Medical Center | General Acute Care Hospital | 73 1st Ave, Apt.b, Atlantic Highlands, NJ 07716-1241 | 2006-09-06 |
| 1407950140 | Jersey Shore University Medical Center | General Acute Care Hospital | 1945 State Route 33, Neptune, NJ 07753-4859 | 2006-09-12 |
| 1811005176 | Jersey Shore University Medical Center | General Acute Care Hospital | 1011 Bond St, Asbury Park, NJ 07712-5939 | 2006-08-28 |
| Street Address |
1945 ROUTE 33 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880069 | Jonathan Havens Briggs | Radiology | 1945 Route 33, Neptune, NJ 07753-4859 | 2005-06-02 |
| 1811597701 | Hmh Hospitals Corporation | Psychiatry & Neurology | 1945 Route 33, Neptune, NJ 07753 | 2020-10-29 |
| 1548882301 | Nicole Tavernier | Student in an Organized Health Care Education/Training Program | 1945 Route 33, Neptune, NJ 07753 | 2020-05-14 |
| 1396383485 | Danielle Nicole Krywinski | Nurse Practitioner | 1945 Route 33, Neptune, NJ 07753 | 2019-12-19 |
| 1508402561 | Erica Leah Camhi | Nurse Anesthetist, Certified Registered | 1945 Route 33, Neptune, NJ 07753 | 2019-11-25 |
| 1992261804 | Ana M Claro | Counselor | 1945 Route 33, Neptune, NJ 07753 | 2019-02-15 |
| 1659845253 | Christian Waga | Nurse Anesthetist, Certified Registered | 1945 Route 33, Neptune, NJ 07753-0883 | 2019-01-16 |
| 1053894022 | Hmh Hospitals Corporation | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2018-09-14 |
| 1033600499 | Jenna Peplinski | Student in an Organized Health Care Education/Training Program | 1945 Route 33, Neptune, NJ 07753 | 2018-05-22 |
| 1477040855 | Matthew William Lezzo | Nurse Anesthetist, Certified Registered | 1945 Route 33, Neptune, NJ 07753 | 2018-04-20 |
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| 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 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053894022 | Hmh Hospitals Corporation | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2018-09-14 |
| 1942544382 | Meridian Hospitals Corporation Dba Jsumc | Psychiatric Unit | 1945 Hwy 33, Neptune, NJ 07753-4859 | 2012-11-26 |
| 1356692289 | Meridian Health Corporation Dba Jsumc | Psychiatric Unit | 1945 Highway 33, Neptune, NJ 07753-4859 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1053574368 | Princeton House Behavioral Health | Psychiatric Unit | 375 North Kings Highway, Cherry Hill, NJ 08034-1013 | 2008-07-07 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1285630087 | Virtua Willingboro Hospital, Inc. | Psychiatric Unit | 218a Sunset Road, Willingboro, NJ 08046-1110 | 2005-06-27 |
| 1790789212 | Ahs Hospital Corp | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2005-06-13 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1932747326 | Inspira Medical Centers, Inc. | Psychiatric Unit | 509 N Broad St, Woodbury, NJ 08096-1617 | 2019-12-16 |
| 1174035604 | Ahs Hospital Corp. | Psychiatric Unit | 175 High St, Newton, NJ 07860-1004 | 2017-10-24 |
| 1790225761 | Meridian Hospitals | Psychiatric Unit | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2017-02-24 |
| 1013366103 | Meridian Health | Psychiatric Unit | 1140 Route 72 W, Manahawkin, NJ 08050-2412 | 2016-06-08 |
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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.