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Organization

VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER I

Active
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Organization

VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALTH CENTER I

Active
Other names
Red Bank Primary Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA PEREZ (CREDENTIALING CONTACT)
(732) 776-3915
Entity
Organization

Contact information

Practice address
64-66 BRIDGE AVENUE, RED BANK, NJ 07701
(732) 219-6620
(732) 219-6625
Mailing address
1301 MAIN ST, ASBURY PARK, NJ 07712-5359
(732) 776-3915
(732) 774-0313

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23983
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0119130
NJ
Enumeration date
06/01/2006
Last updated
07/29/2026
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