Healthcare Provider Details

I. General information

NPI: 1306891791
Provider Name (Legal Business Name): CENTRAL JERSEY MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HOBART ST
PERTH AMBOY NJ
08861-4310
US

IV. Provider business mailing address

PO BOX 1220
PERTH AMBOY NJ
08862-1220
US

V. Phone/Fax

Practice location:
  • Phone: 732-376-9333
  • Fax: 732-324-5765
Mailing address:
  • Phone: 732-376-6635
  • Fax: 732-324-5765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number22864
License Number StateNJ

VIII. Authorized Official

Name: MRS. MARTA FERREIRA
Title or Position: HR DIRECTOR
Credential:
Phone: 732-376-6615