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MULTISPECIALTY PHYSICIANS OF CENTRASTATE
NPI 1023434529
Family Medicine in Freehold, NJ

Active since March 10, 2014CLIA 31D0671050 · Accreditation
901 W MAIN ST, BUSINESS OFFICE, FREEHOLD, NJ 07728(732) 294-7012(732) 303-9251 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Multispecialty Physicians Of Centrastate NPPES

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

MULTISPECIALTY PHYSICIANS OF CENTRASTATE (NPI 1023434529) is a healthcare organization registered as a family medicine in Freehold, New Jersey and active in the NPI registry since March 2014. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Deborah Connors, Vp, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1023434529
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRASTATE MEDICAL CENTER, INC
Location Address901 W MAIN ST, BUSINESS OFFICEFreehold, NJ 07728-2537
Mailing Address901 W Main St, Business OfficeFreehold, NJ 07728-2537 · (732) 294-7012 · Fax (732) 303-9251
Phone(732) 294-7012
Fax(732) 303-9251
Organization SubpartYesParent: Centrastate Medical Center, Inc.
Authorized OfficialDeborah ConnorsVp, Revenue Cycle · (732) 294-7052
Enumeration DateMarch 10, 2014
Last NPPES UpdateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
✔ NPI 1023434529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
901 W MAIN ST, Freehold, NJ 07728
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Other Names 1

Other NameMultispecialty Physicians Of Centrastate

Other Identifiers 4

Medicaid4141008NJ
Other091934NJ · Medicare
Medicaid4141024NJ
Medicaid4141016NJ

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 31D0671050

Centrastate Medical Center · Freehold, NJ
Active · expires Feb 27, 2027
CLIA Number31D0671050
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Paul J. Simon
Laboratory Phone(732) 294-2985
Laboratory LocationCentrastate Medical Center901 West Main St, Freehold, NJ 07728
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.

DR. ANTONIOUS SHERIF FAWZY DO
Internal Medicine
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
CYNTHIA LYNN KINSELLA
Community Health Worker
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 308-0570
DEBORAH A FOLEY FNP-BC
Nurse Practitioner (Family)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
AMIT S KHAROD MD
Surgery
901 W MAIN ST, SUITE 107
FREEHOLD, NJ 07728
Monmouth County (732) 308-4202
YEVGAS PRECESION SERVICES
Surgery
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 742-5084
DIANE YACONO NP
Nurse Practitioner (Adult Health)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2674
BARRY FRIEDENBERG M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST, MEDICAL ARTS BUILDING
FREEHOLD, NJ 07728
Monmouth County (732) 462-3302
BOKRAN WON M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2934

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 Centrastate Medical Center, Inc's NPI number?

The NPI number for Centrastate Medical Center, Inc is 1023434529. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is also known as Multispecialty Physicians Of Centrastate.

Where is Centrastate Medical Center, Inc located?

Centrastate Medical Center, Inc is located at 901 W Main St Business Office, Freehold, NJ 07728. The listed phone number is (732) 294-7012.

What is Centrastate Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Centrastate Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D0671050) 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 Centrastate Medical Center, Inc was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.