Provider Demographics
NPI:1942418629
Name:BAYSHORE COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:BAYSHORE COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR BUSINESS OFFICE
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREIDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-739-5900
Mailing Address - Street 1:94 GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4474
Mailing Address - Country:US
Mailing Address - Phone:732-212-0601
Mailing Address - Fax:
Practice Address - Street 1:94 GARDEN RD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4474
Practice Address - Country:US
Practice Address - Phone:732-212-0601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00616700273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit