| Organization Name: | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| NPI Number: | 1811005176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK SULLIVAN (CLINICAL PROGRAM SUPERVISOR) |
| Mailing Address: | 1011 Bond St Asbury Park |
| State: | NJ US |
| Postal Code: | 077125939 |
| Phone Number: | 7328692761 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 44SW00942700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |