Provider Demographics
NPI:1932321841
Name:MONMOUTH COUNTY DIVISION OF SOCIAL SERVICES
Entity Type:Organization
Organization Name:MONMOUTH COUNTY DIVISION OF SOCIAL SERVICES
Other - Org Name:MCDSS
Other - Org Type:Other Name
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KULKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-431-6000
Mailing Address - Street 1:3000 KOZLOSKI RD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4397
Mailing Address - Country:US
Mailing Address - Phone:732-431-6000
Mailing Address - Fax:732-683-9283
Practice Address - Street 1:3000 KOZLOSKI RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4397
Practice Address - Country:US
Practice Address - Phone:732-431-6000
Practice Address - Fax:732-683-9283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7700407Medicaid