# CENTRASTATE MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295718450
- **Authorized official:** JANICE MCAVENIA (EXEC DIR, REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (732) 294-7012

## Contact information

- **Practice address:** 901 W MAIN ST, BUSINESS OFFICE, FREEHOLD, NJ 07728-2537
- **Practice address phone:** (732) 294-7010
- **Practice address fax:** (732) 303-9251
- **Mailing address:** 901 W MAIN ST, ADMINISTRATION, FREEHOLD, NJ 07728-2537
- **Mailing address phone:** (732) 294-2528
- **Mailing address fax:** (732) 462-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 11302 | NJ | Yes |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 05/19/2025