Healthcare Provider Details

I. General information

NPI: 1225133473
Provider Name (Legal Business Name): MONMOUTH MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 RIVER AVE
LAKEWOOD NJ
08701-5237
US

IV. Provider business mailing address

600 RIVER AVE
LAKEWOOD NJ
08701-5237
US

V. Phone/Fax

Practice location:
  • Phone: 732-363-1900
  • Fax: 732-923-2272
Mailing address:
  • Phone: 732-363-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number10502
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number11502
License Number StateNJ

VIII. Authorized Official

Name: MR. ERIC CARNEY
Title or Position: CEO
Credential:
Phone: 732-923-7507