Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providential Medical Center PC

Organization Specialist · NPI 1487840203

Providential Medical Center PC is a Specialist in Red Bank, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

66 Bridge Ave # C
Red Bank, NJ 07701-6410
Phone: (732) 747-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA61338 (NJ)

Record details

NPI number1487840203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hyppolite — Owner · (732) 747-6600
NPI enumeratedSeptember 16, 2007
Last updated in NPPESFebruary 14, 2011
Mailing address66 Bridge Ave # C, Red Bank, NJ 07701-6410

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