Healthcare Provider Details

I. General information

NPI: 1598682429
Provider Name (Legal Business Name): ANTHONY KILCOYNE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 RICHMOND AVE
POINT PLEASANT BEACH NJ
08742-3010
US

IV. Provider business mailing address

1101 RICHMOND AVE
POINT PLEASANT BEACH NJ
08742-3010
US

V. Phone/Fax

Practice location:
  • Phone: 732-800-1013
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00982900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: