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Jersey Shore Hospital

Emergency Medicine Physician in Jersey Shore, PA · enumerated 2007 · authorized official Mark O'Neill, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306989967

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Registry record

Entity type Organization (Type 2)
Legal business name Jersey Shore Hospital
Other name <Unavail>
Practice address 1020 Thompson St, Jersey Shore, PA, 17740
Fax (570) 398-4412
Enumeration date Feb 14, 2007
Last updated in NPPES Oct 27, 2007

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License 101401 (PA) Secondary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 101401 (PA) Primary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 101401 (PA) Secondary
282NC0060X Critical Access Hospital Hospitals · License 101401 (PA) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 101401 (PA) Secondary
367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 101401 (PA) Secondary

Authorized official

Name Mark O'Neill
Title Cfo

Other identifiers

Identifier Type State Issuer
222070 Other PA RADIOLOGY FPH
391300 Other PA WORKERS COMP
1007703560004 Medicaid PA -
230275 Other PA HA RADIOLOGY
3634 Other PA GHP
C10719 Other PA RR MEDICARE DR GROUP
116482 Other PA HA ER
139690 Other PA HA ANESTHSIA
222069 Other PA ER FPH

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jersey Shore Hospital?
Jersey Shore Hospital is registered in NPPES as a Emergency Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-27.