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NPI Code Detail

MEDICARE: THE SAMARITAN CENTER AT THE JERSEY SHORE

MEDICARE: THE SAMARITAN CENTER AT 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
1101Y00000XCounselor37AC00068100NJ
2101Y00000XCounselor37AC00120300NJ
3101YA0400XAddiction (Substance Use Disorder) Counselor37LC00103300NJ
4101YP2500XProfessional Counselor37PC00443500NJ

General Provider Information

NPI Number : 1790029619
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SAMARITAN CENTER AT THE JERSEY SHORE
Provider Business Mailing Address
First Line : 36 SOUTH ST
Second Line :
City : MANASQUAN
State : NJ
Zip : 08736-3440
Country : US
Telephone Number : 732-223-4673
Fax Number : 732-722-7867
Provider Business Practice Location Address
First Line : 36 SOUTH ST
Second Line :
City : MANASQUAN
State : NJ
Zip : 08736-3440
Country : US
Telephone Number : 732-223-4673
Fax Number : 732-722-7867
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : IRMA GEIB
Credential : RN
Telephone Number : 732-223-4673
Provider Enumeration Date : 11/15/2012
Last Update Date : 11/15/2012

Similar Medicare Providers

1225133564 — MRS. CAROL M KING LPC
Practice Location Address:
36 SOUTH ST
MANASQUAN, NJ
08736-3440
Practice Phone: 732-413-3884
Practice Fax:
1861740565 — FRAN MICELI
Practice Location Address:
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1366839672 — REBECCA GREEN LPC, LCADC
Practice Location Address:
36 SOUTH ST
MANASQUAN, NJ
08736-3440
Practice Phone: 732-223-4673
Practice Fax:
1033657416 — BRIAN T BUTCH MDIV, MSW, MA, LCSW
Practice Location Address:
36 SOUTH ST
MANASQUAN, NJ
08736-3440
Practice Phone: 732-223-4673
Practice Fax:
1952812299 — MS. JENNIFER FRIA LPC
Practice Location Address:
36 SOUTH ST
MANASQUAN, NJ
08736-3440
Practice Phone: 732-223-4673
Practice Fax:
1952818635 — MRS. SARAH STERLING LIRO MS, LPC
Practice Location Address:
36 SOUTH ST
MANASQUAN, NJ
08736-3440
Practice Phone: 732-223-4673
Practice Fax:

Directions to “THE SAMARITAN CENTER AT THE JERSEY SHORE ” Practice Location

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