| Visiting Nurse Association Of Central Jersey Community Health Center I | |
|
35 Broad Street Keyport NJ 07735 | |
| (732) 888-4149 | |
| (732) 264-0799 |
| Full Name | Visiting Nurse Association Of Central Jersey Community Health Center I |
|---|---|
| Speciality | Clinic/Center |
| Location | 35 Broad Street, Keyport, New Jersey |
| Authorized Official Name and Position | Darlene Rice (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7325025144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Nurse Association Of Central Jersey Community Health Center I 806 5th Ave Asbury Park NJ 07712-5363 Ph: (732) 502-5144 | Visiting Nurse Association Of Central Jersey Community Health Center I 35 Broad Street Keyport NJ 07735 Ph: (732) 888-4149 |
| NPI Number | 1003867250 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 1456250679 |
|---|---|
| Medicare Enrollment ID | O20040305000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003867250 | NPI | - | NPPES |
| 0002429 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 82448 (New Jersey) | Primary |
Nj-brooklyn Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Front St, Keyport, NJ 07735 Phone: 732-264-2224 Fax: 732-264-4291 | |
Healthpoint Medical Grp. Of Keyport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 43 W Front Street, Keyport, NJ 07726 Phone: 732-613-1000 |