Covered Entity Details

CH027670 VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT (Active) - information as of 6/25/2025 12:53:57 AM

Main Details

Name

VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT

Subdivision Name

VNACJ Community Health Center, Inc.

Type

HRSA-Funded Health Center

Site ID

BPS-H80-002429

340B ID

CH027670

Grant Number

H80CS00874

Additional Details

Current Program Status

Active

Registration Date

10/1/2004

Participating Start Date

10/1/2004

Participating Approval Date

8/4/2004

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

VNACJ Community Health Center
Sarina Brady, CEO
(732) 502-5117

Primary Contact

VNACJ Community Health Center
Kevin Rogers, CFO
(732) 502-5150

Addresses

Street Address

1301 Main St
Asbury Park, NJ 07712-5359

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
3/24/2008- UPDATED ADDRESS (WAS572 COOKMAN AVENUE); NEW SITE 10/01/2004	05/23/2008

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	BAYSHORE HOME CARE PHARMACY	733 N BEERS ST STE L1		HOLMDEL	NJ	07733	10/14/2014	01/01/2015	04/01/2017	11/14/2018
Contract Detail	COORDINATED CARE NETWORK	COORDINATED CARE NETWORK	300 PENN CENTER BLVD STE 405	PITTSBURGH	PA	15235-5511	09/30/2010	09/30/2010		03/28/2013
Contract Detail	COORDINATED CARE NETWORK PHARMACY	268 MARTIN LUTHER KING JR. BLVD.		NEWARK	NJ	07102	01/08/2015	04/01/2015		01/08/2015
Contract Detail	DRUGSMART PHARMACY	300 MAIN STREET		KEANSBURG	NJ	07734	10/14/2014	01/01/2015	05/01/2017	11/14/2018
Contract Detail	FARMAPACK PHARMACY LLC.	160 AIRPORT RD		LAKEWOOD	NJ	08701	07/15/2013	10/01/2013	07/01/2015	11/14/2018
Contract Detail	HAZLET PHARMACY INC	2874 HIGHWAY 35 SOUTH		HAZLET	NJ	07730	04/23/2013	07/01/2013	07/01/2015	11/14/2018
Contract Detail	HEALTH CENTER PHARMACY	6200 BERGENLINE AVE		WEST NEW YORK	NJ	07093	01/13/2014	04/01/2014	01/01/2021	02/25/2022
Contract Detail	HOME DRUG STORE	HOME DRUG STORE	814 MAIN ST	ASBURY PARK	NJ	07712	09/28/2012	09/28/2012	07/01/2016	11/14/2018
Contract Detail	JERSEY SHORE PHARMACY	JERSEY SHORE PHARMACY	2040 STATE ROUTE 33	NEPTUNE CITY	NJ	07753	07/02/2013	10/01/2013	07/01/2015	11/14/2018
Contract Detail	JERSEY SHORE PHARMACY	JERSEY SHORE PHARMACY	2040 STATE ROUTE 33	NEPTUNE CITY	NJ	07753	01/13/2021	04/01/2021		04/01/2021
Contract Detail	KEANSBURG DRUGS	199 MAIN STREET		KEANSBURG	NJ	07734	07/01/2013	10/01/2013	07/01/2015	11/14/2018
Contract Detail	MATAWAN PHARMACY		1070 ROUTE 34 SUITE K	MATAWAN	NJ	07747	10/05/2012	10/05/2012	01/01/2021	02/25/2022
Contract Detail	PARKE WARNER PHARMACY	1201 CORLIES AVE	UNIT B	NEPTUNE	NJ	07753	10/14/2014	01/01/2015	10/01/2017	11/14/2018
Contract Detail	QUICK MED PHARMACY INC.	1221 MAIN ST		ASBURY PARK	NJ	07712	01/13/2014	04/01/2014	01/13/2016	01/14/2016
Contract Detail	QUICK MED PHARMACY INC.	1221 MAIN ST		ASBURY PARK	NJ	07712	04/15/2022	04/19/2022		04/19/2022
Contract Detail	RITE AID NEW JERSEY, INC.	RITE AID #2684	901 MAIN STREET	ASBURY PARK	NJ	07712	07/11/2013	10/01/2013		07/11/2013
Contract Detail	RITE AID NEW JERSEY, INC.	RITE AID #684	140 WATER STREET	RED BANK	NJ	07701	07/11/2013	10/01/2013		07/11/2013
Contract Detail	RITE AID OF NEW JERSEY, INC.	RITE AID #695	1360 ROUTE 36	HAZLET	NJ	07730	10/17/2018	01/01/2019	06/16/2021	02/25/2022
Contract Detail	RITE AID OF NEW JERSEY, INC.	RITE AID #1778	596 SHREWSBURY AVENUE	TINTON FALLS	NJ	07701	10/17/2018	01/01/2019		01/01/2019
Contract Detail	SAV-ON DRUGS	16 E FRONT ST		KEYPORT	NJ	07735-1584	05/22/2013	05/22/2013		05/22/2013
Contract Detail	TEXAS ROAD PHARMACY		300 GORDONS CORNER RD	MANALAPAN	NJ	07726	01/13/2014	04/01/2014	01/01/2021	02/25/2022
Contract Detail	THRIFT DRUG, INC.	RITE AID #10424	75 SOUTH MAIN STREET	NEPTUNE	NJ	07753	07/11/2013	10/01/2013		07/11/2013
Contract Detail	WALGREEN EASTERN CO INC	DBA: WALGREENS #13698	3247 US HWY 9	FREEHOLD	NJ	07728	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO INC	DBA: WALGREENS #13710	4345 RTE 9	FREEHOLD	NJ	07728	04/22/2013	07/01/2013	08/28/2015	09/01/2015
Contract Detail	WALGREEN EASTERN CO INC	DBA: WALGREENS #13717	375 STATE ROUTE 36	PORT MONMOUTH	NJ	07758	10/14/2013	01/01/2014		10/14/2013
Contract Detail	WALGREEN EASTERN CO.	DBA: WALGREENS #15186	339 MATAWAN RD	MATAWAN	NJ	07747	04/26/2017	07/01/2017		04/26/2017
Contract Detail	WALGREEN EASTERN CO., INC	WALGREENS #19812	140 WATER ST	RED BANK	NJ	07701	04/03/2018	04/12/2018		04/12/2018
Contract Detail	WALGREEN EASTERN CO., INC	WALGREENS #19278	901 MAIN ST	ASBURY PARK	NJ	07712	04/03/2018	04/12/2018		04/12/2018
Contract Detail	WALGREEN EASTERN CO., INC	WALGREENS #19661	1447 STATE ROUTE 35	MIDDLETOWN	NJ	07748-2030	10/17/2018	01/01/2019	01/01/2022	02/25/2022
Contract Detail	WALGREEN EASTERN CO., INC	WALGREENS #19748	810 MAIN ST	BELMAR	NJ	07719	10/17/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN EASTERN CO., INC	WALGREENS #19927	642 NEWMAN SPRINGS RD STE A	LINCROFT	NJ	07738-1745	10/17/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN EASTERN CO., INC	WALGREENS #19757	78 LEONARDVILLE RD	BELFORD	NJ	07718-1144	10/17/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN EASTERN CO., INC	WALGREENS #19420	2000 HIGHWAY 35	OAKHURST	NJ	07755	10/17/2018	01/01/2019		01/01/2019
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01315	2353 LAKEWOOD RD	TOMS RIVER	NJ	08755	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02706	531 PROSPECT AVE	LITTLE SILVER	NJ	07739	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03908	430 HARMONY RD	JACKSON	NJ	08527-4417	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05200	1905 CORLIES AVE	NEPTUNE	NJ	07753	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05201	216 STATE ROUTE 36	WEST LONG BRANCH	NJ	07764	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07915	3580 ROUTE 66	NEPTUNE	NJ	07753	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07921	2546 HOOPER AVE	BRICK	NJ	08723	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05111	1198 STATE ROUTE 36	HAZLET	NJ	07730	04/03/2015	07/01/2015		04/03/2015
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #15557	395 BROAD ST	RED BANK	NJ	07701	04/26/2017	07/01/2017		04/26/2017
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09649	5159 ROUTE 9 NORTH	HOWELL	NJ	07731-3751	04/26/2017	07/01/2017	11/06/2019	12/18/2019
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04963	425 W MAIN ST	FREEHOLD	NJ	07728	04/26/2017	07/01/2017		04/26/2017
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05620	945 ROUTE 34	MATAWAN	NJ	07747-3202	04/26/2017	07/01/2017		04/26/2017
Contract Detail	WALGREENS EASTERN CO INC	DBA: WALGREENS #13703	2995 HIGHWAY 35	HAZLET	NJ	07730	04/22/2013	07/01/2013		04/22/2013
Contract Detail	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/22/2013	07/01/2013	07/27/2015	08/05/2015
Contract Detail	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	04/22/2013	07/01/2013	07/27/2015	08/05/2015

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH027670	Active	BPS-H80-002429	VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT	VNACJ Community Health Center, Inc.	1301 Main St	Asbury Park	NJ
CH02767A	Active	BPS-H80-002758	VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT	VNACJ Community Health Center, Inc.	35 Broad St	Keyport	NJ
CH02767AD	Terminated	BPS-H80-005783	VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT	VNACJ Community Health Center, Inc.	100 Main St	Keansburg	NJ
CH02767AE	Active	BPS-H80-027155	Visiting Nurse Association Of Central Jersey Community Health Center	Freehold Family Health Center	597 Park Ave	Freehold	NJ
CH02767B	Active	BPS-H80-035178	Red Bank Community Health Center	Red Bank Community Health Center	64-66 Bridge Avenue	Red Bank	NJ

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH027670	BAYSHORE HOME CARE PHARMACY	733 N BEERS ST STE L1		HOLMDEL	NJ	07733	01/01/2015	04/01/2017
CH027670	COORDINATED CARE NETWORK	COORDINATED CARE NETWORK	300 PENN CENTER BLVD STE 405	PITTSBURGH	PA	15235-5511	09/30/2010
CH027670	COORDINATED CARE NETWORK PHARMACY	268 MARTIN LUTHER KING JR. BLVD.		NEWARK	NJ	07102	04/01/2015
CH027670	DRUGSMART PHARMACY	300 MAIN STREET		KEANSBURG	NJ	07734	01/01/2015	05/01/2017
CH027670	FARMAPACK PHARMACY LLC.	160 AIRPORT RD		LAKEWOOD	NJ	08701	10/01/2013	07/01/2015
CH027670	HAZLET PHARMACY INC	2874 HIGHWAY 35 SOUTH		HAZLET	NJ	07730	07/01/2013	07/01/2015
CH027670	HEALTH CENTER PHARMACY	6200 BERGENLINE AVE		WEST NEW YORK	NJ	07093	04/01/2014	01/01/2021
CH027670	HOME DRUG STORE	HOME DRUG STORE	814 MAIN ST	ASBURY PARK	NJ	07712	09/28/2012	07/01/2016
CH027670	JERSEY SHORE PHARMACY	JERSEY SHORE PHARMACY	2040 STATE ROUTE 33	NEPTUNE CITY	NJ	07753	10/01/2013	07/01/2015
CH027670	JERSEY SHORE PHARMACY	JERSEY SHORE PHARMACY	2040 STATE ROUTE 33	NEPTUNE CITY	NJ	07753	04/01/2021
CH02767A	JERSEY SHORE PHARMACY	JERSEY SHORE PHARMACY	2040 STATE ROUTE 33	NEPTUNE CITY	NJ	07753	04/01/2021
CH02767AE	JERSEY SHORE PHARMACY	JERSEY SHORE PHARMACY	2040 STATE ROUTE 33	NEPTUNE CITY	NJ	07753	04/01/2021
CH02767B	JERSEY SHORE PHARMACY	JERSEY SHORE PHARMACY	2040 STATE ROUTE 33	NEPTUNE CITY	NJ	07753	04/01/2021
CH027670	KEANSBURG DRUGS	199 MAIN STREET		KEANSBURG	NJ	07734	10/01/2013	07/01/2015
CH02767AD	KEANSBURG DRUGS	199 MAIN STREET		KEANSBURG	NJ	07734	07/01/2013	04/01/2018
CH027670	MATAWAN PHARMACY		1070 ROUTE 34 SUITE K	MATAWAN	NJ	07747	10/05/2012	01/01/2021
CH027670	PARKE WARNER PHARMACY	1201 CORLIES AVE	UNIT B	NEPTUNE	NJ	07753	01/01/2015	10/01/2017
CH027670	QUICK MED PHARMACY INC.	1221 MAIN ST		ASBURY PARK	NJ	07712	04/01/2014	01/13/2016
CH027670	QUICK MED PHARMACY INC.	1221 MAIN ST		ASBURY PARK	NJ	07712	04/19/2022
CH027670	RITE AID NEW JERSEY, INC.	RITE AID #2684	901 MAIN STREET	ASBURY PARK	NJ	07712	10/01/2013
CH027670	RITE AID NEW JERSEY, INC.	RITE AID #684	140 WATER STREET	RED BANK	NJ	07701	10/01/2013
CH027670	RITE AID OF NEW JERSEY, INC.	RITE AID #695	1360 ROUTE 36	HAZLET	NJ	07730	01/01/2019	06/16/2021
CH027670	RITE AID OF NEW JERSEY, INC.	RITE AID #1778	596 SHREWSBURY AVENUE	TINTON FALLS	NJ	07701	01/01/2019
CH027670	SAV-ON DRUGS	16 E FRONT ST		KEYPORT	NJ	07735-1584	05/22/2013
CH027670	TEXAS ROAD PHARMACY		300 GORDONS CORNER RD	MANALAPAN	NJ	07726	04/01/2014	01/01/2021
CH027670	THRIFT DRUG, INC.	RITE AID #10424	75 SOUTH MAIN STREET	NEPTUNE	NJ	07753	10/01/2013
CH027670	WALGREEN EASTERN CO INC	DBA: WALGREENS #13698	3247 US HWY 9	FREEHOLD	NJ	07728	07/01/2013
CH027670	WALGREEN EASTERN CO INC	DBA: WALGREENS #13710	4345 RTE 9	FREEHOLD	NJ	07728	07/01/2013	08/28/2015
CH027670	WALGREEN EASTERN CO INC	DBA: WALGREENS #13717	375 STATE ROUTE 36	PORT MONMOUTH	NJ	07758	01/01/2014
CH027670	WALGREEN EASTERN CO.	DBA: WALGREENS #15186	339 MATAWAN RD	MATAWAN	NJ	07747	07/01/2017
CH027670	WALGREEN EASTERN CO., INC	WALGREENS #19812	140 WATER ST	RED BANK	NJ	07701	04/12/2018
CH027670	WALGREEN EASTERN CO., INC	WALGREENS #19278	901 MAIN ST	ASBURY PARK	NJ	07712	04/12/2018
CH027670	WALGREEN EASTERN CO., INC	WALGREENS #19661	1447 STATE ROUTE 35	MIDDLETOWN	NJ	07748-2030	01/01/2019	01/01/2022
CH027670	WALGREEN EASTERN CO., INC	WALGREENS #19748	810 MAIN ST	BELMAR	NJ	07719	01/01/2019
CH027670	WALGREEN EASTERN CO., INC	WALGREENS #19927	642 NEWMAN SPRINGS RD STE A	LINCROFT	NJ	07738-1745	01/01/2019
CH027670	WALGREEN EASTERN CO., INC	WALGREENS #19757	78 LEONARDVILLE RD	BELFORD	NJ	07718-1144	01/01/2019
CH027670	WALGREEN EASTERN CO., INC	WALGREENS #19420	2000 HIGHWAY 35	OAKHURST	NJ	07755	01/01/2019
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 01315	2353 LAKEWOOD RD	TOMS RIVER	NJ	08755	07/01/2013
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 02706	531 PROSPECT AVE	LITTLE SILVER	NJ	07739	07/01/2013
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 03908	430 HARMONY RD	JACKSON	NJ	08527-4417	07/01/2013
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05200	1905 CORLIES AVE	NEPTUNE	NJ	07753	07/01/2013
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05201	216 STATE ROUTE 36	WEST LONG BRANCH	NJ	07764	07/01/2013
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07915	3580 ROUTE 66	NEPTUNE	NJ	07753	07/01/2013
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 07921	2546 HOOPER AVE	BRICK	NJ	08723	07/01/2013
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05111	1198 STATE ROUTE 36	HAZLET	NJ	07730	07/01/2015
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #15557	395 BROAD ST	RED BANK	NJ	07701	07/01/2017
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #09649	5159 ROUTE 9 NORTH	HOWELL	NJ	07731-3751	07/01/2017	11/06/2019
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 04963	425 W MAIN ST	FREEHOLD	NJ	07728	07/01/2017
CH027670	WALGREEN EASTERN CO., INC.	DBA: WALGREENS # 05620	945 ROUTE 34	MATAWAN	NJ	07747-3202	07/01/2017
CH027670	WALGREENS EASTERN CO INC	DBA: WALGREENS #13703	2995 HIGHWAY 35	HAZLET	NJ	07730	07/01/2013
CH027670	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2013	07/27/2015
CH027670	WALGREENS MAIL SERVICE, INC.		8337 S PARK CIRCLE	ORLANDO	FL	32819-9049	07/01/2013	07/27/2015

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/31/2024 8:06:22 AM	2/11/2025 3:48:09 PM	2/11/2025 3:48 PM
Contacts	Primary Contact	Update	Recertification	Cavaluzzi, Melissa Director of Clinical Quality and Education Visiting Nurse Association of Central New Jersey 7324858681	Rogers, Kevin CFO VNACJ Community Health Center 7325025150	1/31/2024 8:06 AM
Details	Last Recertification Date	Update	Recertification	2/15/2023 2:20:19 PM	1/31/2024 8:06:22 AM	1/31/2024 8:06 AM
Contacts	Authorizing Official	Update	AO Change Request	Rinn, Christopher CEO Visiting Nurse Association of Central New Jersey, 7325025151	Brady, Sarina CEO VNACJ Community Health Center 7325025117	10/2/2023 3:55 PM
Details	Last Recertification Date	Update	Recertification	2/25/2022 2:58:31 PM	2/15/2023 2:20:19 PM	2/15/2023 2:20 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	6331009 (NJ)		2/1/2023 5:18 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	0119130 (NJ)		2/1/2023 5:18 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1841240561 (NJ)		2/1/2023 5:18 PM
Contacts	Primary Contact	Update	Change Request	Scherer, Patricia Executive and Administrative Coordinator Visiting Nurses Association of Central Jersey 7325025150	Cavaluzzi, Melissa Director of Clinical Quality and Education Visiting Nurse Association of Central New Jersey 7324858681	2/1/2023 5:18 PM
Details	Last Recertification Date	Update	Recertification	2/27/2021 6:20:36 PM	2/25/2022 2:58:31 PM	2/25/2022 2:58 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/27/2021 6:20 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		6331009	2/27/2021 6:20 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		NJ	2/27/2021 6:20 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1841240561	2/27/2021 6:20 PM
Medicaid Billing	NPI: State	Insert	Recertification		NJ	2/27/2021 6:20 PM
Details	Last Recertification Date	Update	Recertification	1/27/2020 3:56:08 PM	2/27/2021 6:20:36 PM	2/27/2021 6:20 PM
Contacts	Primary Contact	Update	Change Request	Finocchiaro, Gina Director of Finance and Business Operations VNACJ Community Health Center, Inc. 7325025149	Scherer, Patricia Executive and Administrative Coordinator Visiting Nurses Association of Central Jersey 7325025150	12/2/2020 6:34 AM
Details	Last Recertification Date	Update	Recertification	2/15/2019 5:26:51 PM	1/27/2020 3:56:08 PM	1/27/2020 3:56 PM
Contacts	Authorizing Official	Update	AO Change Request	THEES, THOMAS ED VNACJ COMMUNITY HEALTH CENTER 7325025151	Rinn, Christopher CEO Visiting Nurse Association of Central New Jersey, 7325025151	9/9/2019 1:33 PM
Details	Last Recertification Date	Update	Recertification	2/9/2018 10:27:02 AM	2/15/2019 5:26:51 PM	2/15/2019 5:26 PM
Contacts	Authorizing Official	Update	AO Change Request	McCoy, Kristine I Executive Director VNACJ Community Health Center, Inc. 7325025151	THEES, THOMAS ED VNACJ COMMUNITY HEALTH CENTER 7325025151	10/15/2018 2:53 PM
Contacts	Primary Contact	Update	Recertification	Winter, Gina CFO 7325025149	Finocchiaro, Gina Director of Finance and Business Operations VNACJ Community Health Center, Inc. 7325025149	2/9/2018 10:27 AM
Details	Last Recertification Date	Update	Recertification	2/22/2017 12:00:00 AM	2/9/2018 10:27:02 AM	2/9/2018 10:27 AM
Contacts	Authorizing Official	Update		McCoy, Kristine Executive Director 7325025151	McCoy, Kristine I Executive Director VNACJ Community Health Center, Inc. 7325025151	10/16/2017 7:38 PM
Contacts	Authorizing Official	Update		Ruden, Joanne Interim Executive Director 7325025151	McCoy, Kristine Executive Director 7325025151	4/26/2017 1:35 PM
Addresses	Main Address	Insert			1301 Main St Asbury Park, NJ 07712-5359	2/22/2017 10:49 AM
Contacts	Primary Contact	Update		Apgar, Chris CEO 7325025149	Winter, Gina CFO 7325025149	2/22/2017 10:49 AM
Details	Last Recertification Date	Update		2/24/2016 12:00:00 AM	2/22/2017 12:00:00 AM	2/22/2017 10:48 AM
Medicaid Billing	Medicaid: Is Primary	Update		True	False	2/24/2016 9:57 AM
Details	Last Recertification Date	Update		3/2/2015 12:00:00 AM	2/24/2016 12:00:00 AM	2/24/2016 9:57 AM
Contacts	Authorizing Official	Insert			Ruden, Joanne Interim Executive Director 7325025151	4/3/2015 4:23 PM
Details	Last Recertification Date	Update		3/19/2014 12:00:00 AM	3/2/2015 12:00:00 AM	3/2/2015 1:05 PM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/19/2014 12:00:00 AM	3/19/2014 8:57 AM
Details	Entity Name	Update		VISITING NURSE ASSOC. OF CENTRAL JERSEY	VISITING NURSE ASSOCIATION OF CENTRAL JERSEY COMMUNITY HEALT	3/19/2014 8:57 AM
Details	Entity Subname	Update		ASBURY PARK COMMUNITY HEALTH CENTER	VNACJ Community Health Center, Inc.	3/19/2014 8:57 AM
Contacts	Primary Contact	Update		WHITE, ROBERT MANAGER OF OPERATIONS 7328884170	Apgar, Chris CEO 7325025149	5/22/2013 10:11 AM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/13/2013 8:47 AM
Contacts	Primary Contact	Insert			WHITE, ROBERT MANAGER OF OPERATIONS 7328884170	5/23/2008 8:04 PM
Details	Last Recertification Date	Insert				5/23/2008 8:04 PM
Details	Grant Number	Insert			H80CS00874	5/23/2008 8:04 PM
Details	340B ID	Insert			CH027670	5/23/2008 8:04 PM
Details	Is Authorizing Official EHB Data	Insert				5/23/2008 8:04 PM
Dates	Last Date That 340B Drugs Purchased	Insert				5/23/2008 8:04 PM
Details	Medicare Provider Number	Insert				5/23/2008 8:04 PM
Details	Entity Name	Insert			VISITING NURSE ASSOC. OF CENTRAL JERSEY	5/23/2008 8:04 PM
Details	Program Code	Insert			CH	5/23/2008 8:04 PM
Details	Entity Subname	Insert			ASBURY PARK COMMUNITY HEALTH CENTER	5/23/2008 8:04 PM
Dates	Participating Approval Date	Insert			8/4/2004 12:00:00 AM	5/23/2008 8:04 PM
Details	State	Insert			Active	5/23/2008 8:04 PM
Dates	Registration Date	Insert			10/1/2004 12:00:00 AM	5/23/2008 8:04 PM
Dates	Signed By Date	Insert				5/23/2008 8:04 PM
Dates	Start Date	Insert			10/1/2004 12:00:00 AM	5/23/2008 8:04 PM
Terminations	Termination Comments	Insert				5/23/2008 8:04 PM
Terminations	Termination Date	Insert				5/23/2008 8:04 PM
Terminations	Termination Effective Date	Insert				5/23/2008 8:04 PM
Terminations	Termination Reason	Insert				5/23/2008 8:04 PM
Details	Comments Public	Insert			3/24/2008- UPDATED ADDRESS (WAS572 COOKMAN AVENUE); NEW SITE 10/01/2004	5/23/2008 8:04 PM
Medicaid Billing	Medicaid: Is Primary	Insert			True	10/1/2004 12:00 AM
Medicaid Billing	Medicaid: Number	Insert			0119130	10/1/2004 12:00 AM
Medicaid Billing	Medicaid: State	Insert			NJ	10/1/2004 12:00 AM

340B Drug Pricing Program Database