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PROVIDENTIAL MEDICAL CENTER PC
NPI 1487840203
Specialist in Red Bank, NJ

Active since September 16, 2007
66 BRIDGE AVE # C, RED BANK, NJ 07701(732) 747-6600 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providential Medical Center Pc NPPES

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

PROVIDENTIAL MEDICAL CENTER PC (NPI 1487840203) is a healthcare organization registered as a specialist in Red Bank, New Jersey and active in the NPI registry since September 2007. The organization lists David Hyppolite, Owner, as its authorized official.

NPPES Registry Identity

NPI1487840203
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePROVIDENTIAL MEDICAL CENTER PC
Location Address66 BRIDGE AVE # CRed Bank, NJ 07701-6410
Mailing Address66 Bridge Ave # CRed Bank, NJ 07701-6410 · Fax (732) 747-6001
Phone(732) 747-6600
Organization SubpartNo
Authorized OfficialDavid HyppoliteOwner · (732) 747-6600
Enumeration DateSeptember 16, 2007
Last NPPES UpdateFebruary 14, 2011
✔ NPI 1487840203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA61338
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
66 BRIDGE AVE # C, Red Bank, NJ 07701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Providential Medical Center PC's NPI number?

The NPI number for Providential Medical Center PC is 1487840203. It was assigned to this organization in the NPPES registry on September 16, 2007.

Where is Providential Medical Center PC located?

Providential Medical Center PC is located at 66 Bridge Ave # C, Red Bank, NJ 07701. The listed phone number is (732) 747-6600.

What is Providential Medical Center PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Providential Medical Center PC was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.