MEDICARE: QSPOT LGBT COMMUNITY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1518338409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QSPOT LGBT COMMUNITY CENTER

Provider Business Mailing Address
First Line	:	66 S MAIN ST
Second Line	:
City	:	OCEAN GROVE
State	:	NJ
Zip	:	07756-1295
Country	:	US
Telephone Number	:	732-455-3373
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 S MAIN ST
Second Line	:
City	:	OCEAN GROVE
State	:	NJ
Zip	:	07756-1295
Country	:	US
Telephone Number	:	732-455-3373
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JOHN MIKYTUCK
Credential	:
Telephone Number	:	646-675-2726

Provider Enumeration Date	:	10/17/2015
Last Update Date	:	10/17/2015

Similar Medicare Providers

1497683320 — JOSEFINA PIFER SIPIN
Practice Location Address:

8722 WINTERFEST WAY
ELK GROVE, CA
95624-1295

Practice Phone: 916-839-7212
Practice Fax:

1497738975 — DR. H SPENCER HOLMES M.D.
Practice Location Address:

1295 WALNUT GROVE LN N
PLYMOUTH, MN
55447-1093

Practice Phone: 952-237-4147
Practice Fax: 952-993-0333

1528667581 — WINTERFEST MEDICAL SERVICES CORPORATION
Practice Location Address:

8758 WINTERFEST WAY
ELK GROVE, CA
95624-1295

Practice Phone: 916-284-4129
Practice Fax: 916-244-7162

1902554900 — VICTORIA RENEE ZIEGLER BSW
Practice Location Address:

149 E COLLEGE AVE
SPRING GROVE, PA
17362-1295

Practice Phone: 717-225-1430
Practice Fax:

1801891437 — DR. JEFFREY M BEAL M.D.
Practice Location Address:

108 S MAIN ST , SUITE 6
OCEAN GROVE, NJ
07756-2016

Practice Phone: 732-776-8473
Practice Fax: 732-869-9160

1386674588 — BLESILA G CAPILLA PT
Practice Location Address:

70 STOCKTON AVE
OCEAN GROVE, NJ
07756-1150

Practice Phone: 732-774-1316
Practice Fax:

Directions to “QSPOT LGBT COMMUNITY CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.