CENTRAL JERSEY MEDICAL CENTER INC. NPI 1598090292

NPI Information

NPI: 1598090292
Provider Name: CENTRAL JERSEY MEDICAL CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
275 HOBART ST
MOBILE UNIT
PERTH AMBOY, NJ
ZIP 08861
Phone: (732) 376-9333
Get Directions

CENTRAL JERSEY MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Perth Amboy, NJ. CENTRAL JERSEY MEDICAL CENTER, INC. NPI is 1598090292. The provider is registered as an organization entity type.

The provider's business location address is:

275 HOBART ST
MOBILE UNIT
PERTH AMBOY, NJ
ZIP 08861-310
Phone: (732) 376-9333
Fax: (732) 324-5765

The provider's authorized official is Jack O'leary .
The authorized official title is Chief Executive Officer and has the following contact phone number (732) 376-9333.

The enumeration date for this NPI number is 10/14/2009 and was last updated on 1/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	24332	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0137616	MEDICAID	NEW JERSEY
2	7849404	MEDICAID	NEW JERSEY
3	0152536	MEDICAID	NEW JERSEY
4	0193771	MEDICAID	NEW JERSEY
5	0200841	MEDICAID	NEW JERSEY
6	0124869	MEDICAID	NEW JERSEY
7	0158232	MEDICAID	NEW JERSEY
8	0183252	MEDICAID	NEW JERSEY
9	8462500	MEDICAID	NEW JERSEY
10	0193763	MEDICAID	NEW JERSEY
11	0207161	MEDICAID	NEW JERSEY
12	1342304	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »