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NPI Code Detail

MEDICARE: THE YOUNG MENS CHRISTIAN ASSOCIATION OF THE JERSEY SHORE

MEDICARE: THE YOUNG MENS CHRISTIAN ASSOCIATION OF THE JERSEY SHORE
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
1251S00000XCommunity/Behavioral Health Agency
2251S00000XCommunity/Behavioral Health Agency2000341NJ
3251S00000XCommunity/Behavioral Health Agency100050104NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548326069
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE YOUNG MENS CHRISTIAN ASSOCIATION OF THE JERSEY SHORE
Provider Business Mailing Address
First Line : 166 MAIN ST
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-3104
Country : US
Telephone Number : 732-290-9040
Fax Number : 732-566-0433
Provider Business Practice Location Address
First Line : 166 MAIN ST
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-3104
Country : US
Telephone Number : 732-290-9040
Fax Number : 732-566-0433
Authorized Official
Title or Position : COO
Name : JENNIFER DUNN
Credential :
Telephone Number : 732-290-9040
Provider Enumeration Date : 12/29/2006
Last Update Date : 06/09/2026

Similar Medicare Providers

1710041108 — PAMELA MALLOY MA, NCC, LPC
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-290-9040
Practice Fax: 732-566-0433
1376600221 — THE COMMUNITY YMCA FAMILY SERVICES
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-774-1558
Practice Fax: 732-774-9465
1114076668 — MELINDA LISNY LCSW,LCADC
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-290-9040
Practice Fax:
1154460772 — MS. IRENE PAONI LCSW
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-290-9040
Practice Fax: 732-566-0433
1396965240 — MR. STEPHEN J LAZAR C.A.D.C.
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-290-9040
Practice Fax: 732-566-0433
1205040284 — MS. LISA ANN CLOUSE MSW
Practice Location Address:
166 MAIN ST
MATAWAN, NJ
07747-3104
Practice Phone: 732-566-7054
Practice Fax:

Directions to “THE YOUNG MENS CHRISTIAN ASSOCIATION OF THE JERSEY SHORE ” 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.

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