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

Providential Medical Center PC

Organization Specialist · NPI 1487840203

Providential Medical Center PC provides Specialist services 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 Not confirmed with CMS for 15 years — call before visiting
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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