Ymca Of The Jersey Shore
Community/Behavioral Health in Wall Township, New Jersey
1164941043- Practice location
- 3911 Herbertsville RD, Wall Township, NJ 08724-0904
- Phone
- 732-290-9040
- Fax
- 732-566-0433
- Last updated
- July 17, 2025
Ymca Of The Jersey Shore is a healthcare organization based in Wall Township, NJ. Ymca Of The Jersey Shore practices in Wall Township, NJ. The NPI Number for Ymca Of The Jersey Shore is 1164941043 and holds a License No. 1000053704 (NJ). The current practice location address for Ymca Of The Jersey Shore is 3911 Herbertsville RD, Wall Township, NJ 08724-0904 and can be reached out via phone at 732-290-9040 and via fax at 732-566-0433.
Provider Profile Details
- NPI Number
- 1164941043
- Provider Name
- Ymca Of The Jersey Shore
- Provider Entity Type
- Organization
- Address
- 3911 Herbertsville RD, Wall Township, NJ 08724-0904
- Phone Number
- 732-290-9040
- Fax Number
- 732-566-0433
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Cory Cuomo, LCSW · Vice President · 732-290-9040
- Provider Enumeration Date
- September 12, 2017
- Last Update Date
- July 17, 2025
- Certification Date
- July 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3911 Herbertsville RD
Wall Township, NJ 08724-0904 - City
- Wall Township
- State
- New Jersey
- Zip
- 08724-0904
- Phone Number
- 732-290-9040
- Fax Number
- 732-566-0433
Provider Business Mailing Address Details
- Address
- 166 Main St
Matawan, NJ 07747-3104 - City
- Matawan
- State
- NJ
- Zip
- 07747-3104
- Phone Number
- 732-290-9040
- Fax Number
- 732-566-0433
License Information
- License Number
- 1000053704
- License State
- NJ
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ymca Of The Jersey Shore?
The NPI number of Ymca Of The Jersey Shore is 1164941043. It was assigned on September 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Ymca Of The Jersey Shore?
Ymca Of The Jersey Shore is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in NJ under license number 1000053704.
Where does Ymca Of The Jersey Shore practice?
The practice location is 3911 Herbertsville RD, Wall Township, NJ 08724-0904. The office can be reached at 732-290-9040 (phone) or 732-566-0433 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164941043 directly on the NPPES registry website.