Organization
CENTRAL JERSEY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK O'LEARY (CHIEF EXECUTIVE OFFICER)
(732) 376-9333
Entity
Organization
Contact information
Practice address
275 HOBART ST, MOBILE UNIT, PERTH AMBOY, NJ 08861-4310
(732) 376-9333
(732) 324-5765
Mailing address
PO BOX 1220, PERTH AMBOY, NJ 08862-1220
(732) 376-6635
(732) 324-5765
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
24332
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124869
—
NJ
05
—
0137616
—
NJ
05
—
0152536
—
NJ
05
—
0158232
—
NJ
05
—
0183252
—
NJ
05
—
0193763
—
NJ
05
—
0193771
—
NJ
05
—
0200841
—
NJ
05
—
0207161
—
NJ
05
—
1342304
—
NJ
05
—
7849404
—
NJ
05
—
8462500
—
NJ
Enumeration date
10/14/2009
Last updated
01/27/2023
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