Provider Demographics
NPI:1790828630
Name:BAYSHORE COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:BAYSHORE COMMUNITY HOSPITAL
Other - Org Name:BCH WELLNESS CENTER AT OLD BRIDGE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF REHAB SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS
Authorized Official - Phone:732-721-4808
Mailing Address - Street 1:1044 US HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1401
Mailing Address - Country:US
Mailing Address - Phone:732-721-4808
Mailing Address - Fax:732-721-1646
Practice Address - Street 1:1044 US HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1401
Practice Address - Country:US
Practice Address - Phone:732-721-4808
Practice Address - Fax:732-721-1646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy