YMCA OF THE JERSEY SHORE
NPI 1295387017
Community/Behavioral Health in Eatontown, NJ

Active since July 11, 2019
65 RALEIGH CT, EATONTOWN, NJ 07724(732) 290-9040 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2020, Jul 11, 2019 (2 updates tracked since 2019).

  • Organization
  • Community/Behavioral Health

About YMCA OF THE JERSEY SHORE

This page provides the complete NPI Profile along with additional information for Ymca Of The Jersey Shore, a provider established in Eatontown, New Jersey operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1295387017 assigned on July 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Cory Cuomo Lcsw (Vice President)

NPI
1295387017 Verify this NPI
Provider Name
YMCA OF THE JERSEY SHORE
Entity Type
Organization
Location Address
65 RALEIGH CT EATONTOWN, NJ 07724
Location Phone
(732) 290-9040
Mailing Address
166 MAIN ST MATAWAN, NJ 07747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2019
Last Update Date
07-15-2025
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

CORY CUOMO LCSW

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(732) 290-9040

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
0694355MEDICAID (05)NJ 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295387017, enumerated as an "organization" on July 11, 2019.

The provider is located at 65 RALEIGH CT EATONTOWN, NJ 07724 and the phone number is (732) 290-9040.

Community/Behavioral Health with taxonomy code 251S00000X.

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