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

NPI Status: Active since May 26, 2006

Contact Information

300 2ND AVE
LONG BRANCH, NJ
ZIP 07740
Phone: (732) 571-0025
Fax: (732) 571-0400

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  • Organization
  • Internal Medicine
  • CLIA Number: 31D0114688
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC.

This page provides the complete NPI Profile along with additional information for Monmouth Medical Center Faculty Practice Plan, Inc., an internist established in Long Branch, New Jersey operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1023064441 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Monmouth Medical Center Faculty Practice Plan, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tanya Kenney (Mmcfpp Manager)

NPI
1023064441
Provider Name
MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC.
Entity Type
Organization
Location Address
300 2ND AVE LONG BRANCH, NJ 07740
Location Phone
(732) 571-0025
Location Fax
(732) 571-0400
Mailing Address
PO BOX 8000 DEPT 601 BUFFALO, NY 14267
Mailing Phone
(866) 295-0041
Mailing Fax
(732) 571-0400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2006
Last Update Date
03-09-2012
Code Navigator

An internist like Monmouth Medical Center Faculty Practice Plan, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RA0000XAllopathic & Osteopathic Physicians

Internal Medicine
Adolescent Medicine

 
2207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4207VM0101XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Maternal & Fetal Medicine

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
62085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
7208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TANYA KENNEY

Authorized Official Title
MMCFPP MANAGER
Authorized Official Phone
(732) 923-6281

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
611266MEDICARE ID-TYPE UNSPECIFIED (04)NJ 
6441301MEDICAID (05)NJ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D0114688
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. JASMINKA L. BALDERACCHI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Monmouth Medical Center Faculty Practice Plan, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023064441, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 0 + 6 + 8 + 4 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1023064441.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
300 2ND AVE
LONG BRANCH, NJ 07740
Anesthesiology
300 2ND AVE
LONG BRANCH, NJ 07740
Anesthesiology
300 2ND AVE
LONG BRANCH, NJ 07740
Radiology (Diagnostic Radiology)
300 2ND AVE
LONG BRANCH, NJ 07740
Dentist (Pediatric Dentistry)
300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Internal Medicine (Infectious Disease)
300 2ND AVE
LONG BRANCH, NJ 07740
Pediatrics (Pediatric Infectious Diseases)
300 2ND AVE
LONG BRANCH, NJ 07740
Internal Medicine
300 2ND AVE
LONG BRANCH, NJ 07740
Pediatrics
300 2ND AVE
LONG BRANCH, NJ 07740
Midwife
300 2ND AVE
LONG BRANCH, NJ 07740
Emergency Medicine
300 2ND AVE, MONMOUTH MEDICAL CENTER (EMERGENCY DEPARTMENT)
LONG BRANCH, NJ 07740
Emergency Medicine
300 2ND AVE, MONMOUTH MEDICAL CENTER (EMERGENCY DEPARTMENT)
LONG BRANCH, NJ 07740
Midwife
300 2ND AVE
LONG BRANCH, NJ 07740
Radiology (Radiation Oncology)
300 2ND AVE
LONG BRANCH, NJ 07740
Radiology (Radiation Oncology)
300 2ND AVE
LONG BRANCH, NJ 07740
Midwife
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Practitioner
300 2ND AVE
LONG BRANCH, NJ 07740
Pediatrics
300 2ND AVE
LONG BRANCH, NJ 07740
Nurse Practitioner
300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Emergency Medicine
300 2ND AVE, EMERGENCY DEPARTMENT
LONG BRANCH, NJ 07740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023064441, enumerated as an "organization" on May 26, 2006.

The provider is located at 300 2ND AVE LONG BRANCH, NJ 07740 and the phone number is (732) 571-0025.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.