NPIViewer - Provider NPI 1306891791

NPI:	1306891791
Name:	CENTRAL JERSEY MEDICAL CENTER, INC.
Entity type:	Organization
Organization Name:	CENTRAL JERSEY MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:	HR DIRECTOR
Authorized Official - Prefix:	MRS
Authorized Official - First Name:	MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:	FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	732-376-6615
Mailing Address - Street 1:	PO BOX 1220
Mailing Address - Street 2:
Mailing Address - City:	PERTH AMBOY
Mailing Address - State:	NJ
Mailing Address - Zip Code:	08862-1220
Mailing Address - Country:	US
Mailing Address - Phone:	732-376-6635
Mailing Address - Fax:	732-324-5765
Practice Address - Street 1:	275 HOBART ST
Practice Address - Street 2:
Practice Address - City:	PERTH AMBOY
Practice Address - State:	NJ
Practice Address - Zip Code:	08861-4310
Practice Address - Country:	US
Practice Address - Phone:	732-376-9333
Practice Address - Fax:	732-324-5765
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2006-05-23
Last Update Date:	2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:

State	License ID	Taxonomies
NJ	22864	261QF0400X

Primary?	Code	Type	Classification	Specialization
Yes	261QF0400X	Ambulatory Health Care Facilities	Clinic/Center	Federally Qualified Health Center (FQHC)

State	Identifier ID	ID Type
NJ	0170241	Medicaid
NJ	0205168	Medicaid
NJ	8096201	Medicaid
NJ	8932603	Medicaid
NJ	0090298	Medicaid
NJ	0156779	Medicaid
NJ	0193763	Medicaid
NJ	7489404	Medicaid
NJ	8751404	Medicaid
NJ	0751103	Medicaid
NJ	0183252	Medicaid
NJ	0183679	Medicaid
NJ	1342304	Medicaid
NJ	8343900	Medicaid
NJ	2155001	Medicaid
NJ	0115045	Medicaid
NJ	0158232	Medicaid
NJ	0200841	Medicaid
NJ	2994208	Medicaid
NJ	3793109	Medicaid
NJ	0136701	Medicaid
NJ	0197360	Medicaid
NJ	0124869	Medicaid
NJ	0152536	Medicaid
NJ	0156787	Medicaid
NJ	0988219	Medicaid
NJ	8462500	Medicaid
NJ	8096201	Medicaid
NJ	1342304	Medicaid
NJ	047027Q3J	Medicare PIN
NJ	129046Q3J	Medicare PIN
NJ	096884Q3J	Medicare PIN
NJ	0158232	Medicaid
NJ	0183252	Medicaid
NJ	8751404	Medicaid
NJ	3793109	Medicaid
NJ	0183679	Medicaid
NJ	0156779	Medicaid
NJ	0152536	Medicaid
NJ	0115045	Medicaid
NJ	503784Q3J	Medicare PIN
NJ	14973Q3J	Medicare PIN
NJ	H24214	Medicare UPIN
NJ	0170241	Medicaid
NJ	0124869	Medicaid
NJ	0090298	Medicaid
NJ	8343900	Medicaid
	311833	Medicare Oscar/Certification
NJ	086142Q3J	Medicare PIN
NJ	153985Q3J	Medicare PIN