Ymca Of The Jersey Shore
Community/Behavioral Health in Jackson, New Jersey
1184103061- Practice location
- 1025 Larsen RD, Jackson, NJ 08527-1315
- Phone
- 732-290-9040
- Fax
- 732-566-0433
- Last updated
- July 16, 2025
Ymca Of The Jersey Shore is a healthcare organization based in Jackson, NJ. Ymca Of The Jersey Shore practices in Jackson, NJ. The NPI Number for Ymca Of The Jersey Shore is 1184103061 and holds a License No. 1000054804 (NJ). The current practice location address for Ymca Of The Jersey Shore is 1025 Larsen RD, Jackson, NJ 08527-1315 and can be reached out via phone at 732-290-9040 and via fax at 732-566-0433.
Provider Profile Details
- NPI Number
- 1184103061
- Provider Name
- Ymca Of The Jersey Shore
- Provider Entity Type
- Organization
- Address
- 1025 Larsen RD, Jackson, NJ 08527-1315
- 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
- August 10, 2018
- Last Update Date
- July 16, 2025
- Certification Date
- July 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1025 Larsen RD
Jackson, NJ 08527-1315 - City
- Jackson
- State
- New Jersey
- Zip
- 08527-1315
- 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
- 1000054804
- 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 1184103061. It was assigned on August 10, 2018 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 1000054804.
Where does Ymca Of The Jersey Shore practice?
The practice location is 1025 Larsen RD, Jackson, NJ 08527-1315. 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 1184103061 directly on the NPPES registry website.