BEACH BUNGALO LIMITED LIABILITY COMPANY
NPI 1841326931
Social Worker - Clinical in Toms River, NJ

Active since February 26, 2007
892 COMMON WAY, SUITE H, TOMS RIVER, NJ 08753(732) 557-0354(732) 286-4334 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beach Bungalo Limited Liability Company NPPES

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

BEACH BUNGALO LIMITED LIABILITY COMPANY (NPI 1841326931) is a healthcare organization registered as a clinical in Toms River, New Jersey and active in the NPI registry since February 2007. The organization lists Sherry Lynn Goldman, President, as its authorized official.

NPPES Registry Identity

NPI1841326931
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBEACH BUNGALO LIMITED LIABILITY COMPANY
Location Address892 COMMON WAY, SUITE HToms River, NJ 08753
Mailing Address712 E Long Branch AvenueBayville, NJ 08721 · (732) 557-0354 · Fax (732) 286-4334
Fax(732) 286-4334
Organization SubpartNo
Authorized OfficialSherry Lynn GoldmanPresident · (732) 557-0354
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 15, 2007
✔ NPI 1841326931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05201900
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedPsychologistTaxonomy 103T00000X
892 COMMON WAY, Toms River, NJ 08753

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beach Bungalo Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beach Bungalo Limited Liability Company, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1760527964
892 COMMON WAY SUITE H
Toms River, NJ 08721
(732) 557-0354
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Beach Bungalo Limited Liability Company's NPI number?

The NPI number for Beach Bungalo Limited Liability Company is 1841326931. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Beach Bungalo Limited Liability Company located?

Beach Bungalo Limited Liability Company is located at 892 Common Way Suite H, Toms River, NJ 08753. The listed phone number is (732) 557-0354.

What is Beach Bungalo Limited Liability Company's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Beach Bungalo Limited Liability Company enrolled in Medicare?

Yes. Beach Bungalo Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beach Bungalo Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Beach Bungalo Limited Liability Company. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beach Bungalo Limited Liability Company was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.