BAYSHORE COMMUNITY HOSPITAL
NPI 1831197508
General Acute Care Hospital in Holmdel, NJ

NPI Status: Active since July 07, 2005

Contact Information

727 N BEERS ST
HOLMDEL, NJ
ZIP 07733
Phone: (732) 739-5900
Fax: (732) 888-7324

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 31D2046549
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-05-2026

About BAYSHORE COMMUNITY HOSPITAL

This page provides the complete NPI Profile along with additional information for Bayshore Community Hospital, a provider established in Holmdel, New Jersey operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1831197508 assigned on July 2005. The practitioner's primary taxonomy code is 282N00000X with license number 11301 (NJ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Bayshore Community Hospital. The authorized official of this NPI record is Marilyn Koczan (Vp - Finance)

NPI
1831197508
Provider Legal Name
MERIDIAN HOSPITALS CORPORATION
Other Organization Name
BAYSHORE COMMUNITY HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
727 N BEERS ST HOLMDEL, NJ 07733
Location Phone
(732) 739-5900
Location Fax
(732) 888-7324
Mailing Address
727 N BEERS ST HOLMDEL, NJ 07733
Mailing Phone
(732) 739-5900
Mailing Fax
(732) 888-7324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2005
Last Update Date
07-25-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
11301
License State
NJ
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

556100 (NJ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARILYN KOCZAN

Authorized Official Title
VP - FINANCE
Authorized Official Phone
(732) 897-7800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
310112,315395MEDICARE ID-TYPE UNSPECIFIED (04)NJ 
J004328OTHER (01)NJCHAMPUS
4141105MEDICAID (05)NJ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2046549
Facility Type
Physician Office
Certificate Effective Date
September 06, 2024
Certificate Expiration Date
September 05, 2026
Laboratory Director
DR. JENNIFER ZAITZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bayshore Community Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BAYSHORE COMMUNITY HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831197508
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861291450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 2 + 9 + 1 + 4 + 5 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1831197508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417955832DR. JEAN MARIE STOERGER PHARM.D.
Individual
Pharmacist (Pharmacotherapy)727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5886
1497729867 MAGDY S GIRGIS MD
Individual
Anesthesiology727 N BEERS ST
HOLMDEL, NJ 07733
(201) 342-1205
1508835125BAYSHORE COMMUNITY HOSPITAL
Organization
Skilled Nursing Facility727 N BEERS ST
HOLMDEL, NJ 07733
(732) 735-5900
1548216393 HANIF M MANSURI MD
Individual
Surgery727 N BEERS ST
HOLMDEL, NJ 07733
(800) 624-0792
1992752034 LUIS FAELNAR MD
Individual
Anesthesiology727 N BEERS ST
HOLMDEL, NJ 07733
(800) 624-0792
1235176561MR. LIND S. LARSEN M.D.
Individual
Emergency Medicine727 N BEERS ST BAYSHORE COMMUNITY CENTER
HOLMDEL, NJ 07733
(732) 739-5900
1184667289 KONG TAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5847
1750325494DR. DANIEL YU MD
Individual
Emergency Medicine727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5924
1417980095 GEORGE BRUK MD
Individual
Specialist727 N BEERS ST
HOLMDEL, NJ 07733
(201) 342-1205
1003831363 DAVID HANDLIN MD
Individual
Specialist727 N BEERS ST
HOLMDEL, NJ 07733
(201) 342-1205
1205995172 HONGLING WANG MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5847
1609907971MRS. GLORIA K LAU PT
Individual
Specialist727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5955
1871616102MRS. CARYN R. STONER
Individual
General Acute Care Hospital (Rural)727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5955
1457575557MRS. PADMAJA ELURI PT
Individual
Physical Therapist727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5955
1790909794MRS. MARITZA VICTORIA JAQUE P.T.
Individual
Physical Therapist727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5955
1841414448MS. MERYL ANN KRASNOFF P.T.
Individual
Physical Therapist727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5955
1215151824 CYNTHIA LYNNE MUDD OTR
Individual
Occupational Therapist727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5955
1871718775 JAYENDRA M. PATEL MD
Individual
Emergency Medicine727 N BEERS ST BAYSHORE COMMUNITY HOSPITAL
HOLMDEL, NJ 07733
(732) 739-5968
1053536169MRS. LISA P MEINERT MSCCCSLP
Individual
Speech-Language Pathologist727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5900
1417161522 MARLENE ARAYATA PARANAL PT
Individual
Physical Therapist727 N BEERS ST
HOLMDEL, NJ 07733
(732) 739-5955

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831197508, enumerated in the NPI registry as an "organization" on July 07, 2005

The provider is located at 727 N Beers St Holmdel, Nj 07733 and the phone number is (732) 739-5900

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Medicare, Medicaid and Tricare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 31D2046549 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.