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MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC.
NPI 1023064441
Internal Medicine in Long Branch, NJ

Active since May 26, 2006CLIA 31D0114688 · Accreditation
300 2ND AVE, LONG BRANCH, NJ 07740(732) 571-0025(732) 571-0400 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Monmouth Medical Center Faculty Practice Plan, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC. (NPI 1023064441) is a healthcare organization registered as an internal medicine in Long Branch, New Jersey and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Tanya Kenney, Mmcfpp Manager, as its authorized official.

NPPES Registry Identity

NPI1023064441
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC.
Location Address300 2ND AVELong Branch, NJ 07740-6303
Mailing AddressPo Box 8000, Dept 601Buffalo, NY 14267-0002 · (866) 295-0041 · Fax (708) 342-2517
Phone(732) 571-0025
Fax(732) 571-0400
Organization SubpartNo
Authorized OfficialTanya KenneyMmcfpp Manager · (732) 923-6281
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 9, 2012
✔ NPI 1023064441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
300 2ND AVE, Long Branch, NJ 07740
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Other Identifiers 2

Medicare ID-Type Unspecified611266NJ
Medicaid6441301NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 31D0114688

Monmouth Medical Center · Long Branch, NJ
Active · expires Feb 27, 2027
CLIA Number31D0114688
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Jasminka L. Balderacchi
Laboratory Phone(732) 923-7353
Laboratory LocationMonmouth Medical Center300 2nd Ave Attn Department Of Pathology, Long Branch, NJ 07740
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA M LASKOWSKI M.D.
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-7251
FLORENCE ARMOUR APN
Nurse Practitioner (Adult Health)
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-6635
MICHELLE WOODFIELD MD
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-7251
DR. KARAN JAYESHKUMAR YAGNIK MD
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (440) 403-5523
JULIE A CONTE CRNA
Nurse Anesthetist, Certified Registered
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
KATHLEEN STANIER NP
Nurse Practitioner
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
MICHAEL EAGAN MD
Emergency Medicine
300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Monmouth County (732) 923-8882
DR. TEE YIN TRACY TEO D.O
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (631) 726-0409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monmouth Medical Center Faculty Practice Plan, Inc.'s NPI number?

The NPI number for Monmouth Medical Center Faculty Practice Plan, Inc. is 1023064441. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Monmouth Medical Center Faculty Practice Plan, Inc. located?

Monmouth Medical Center Faculty Practice Plan, Inc. is located at 300 2nd Ave, Long Branch, NJ 07740. The listed phone number is (732) 571-0025.

What is Monmouth Medical Center Faculty Practice Plan, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Monmouth Medical Center Faculty Practice Plan, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D0114688) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Monmouth Medical Center Faculty Practice Plan, Inc. was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.