SOUTHERN OCEAN COUNTY SURGICAL ASSOCIATION, LLC (NPI# 1013016765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013016765 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OCEAN COUNTY SURGICAL ASSOCIATION, LLC |
| Practice Address |
44 Nautilus Dr Suite 2b Manahawkin NJ 08050-2466 |
| Practice Telephone | 6095979477 |
| Practice Fax Number | 6094890226 |
| Mailing Telephone | 6095979477 |
| Mailing Fax Number | 6094890226 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SERGEY GRACHEV (PROPRIETOR) |
| Authorized Official Telephone | 6095979477 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25MA07937200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
44 NAUTILUS DR SUITE 2B |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 08050-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316912611 | Scott Garratt Sattan | Physical Therapist | 44 Nautilus Dr, First Floor, Manahawkin, NJ 08050-2466 | 2006-02-21 |
| 1427504612 | Marc Asta | Physical Therapist | 44 Nautilus Dr, Manahawkin, NJ 08050-2466 | 2016-08-29 |
| 1154610608 | Inessa Soden IIi | Occupational Therapist | 44 Nautilus Dr, Manahawkin, NJ 08050-2466 | 2011-04-06 |
| 1184832503 | Eileen M Kane | Physical Therapist | 44 Nautilus Dr, Manahawkin, NJ 08050-2466 | 2007-05-18 |
| 1225120124 | Joanna Marie Desantis | Physical Therapist | 44 Nautilus Dr, First Floor, Manahawkin, NJ 08050-2466 | 2006-09-28 |
| 1033188891 | Michael John Staino | Specialist | 44 Nautilus Dr, First Floor, Manahawkin, NJ 08050-2466 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720600588 | Ashley Egleston | Counselor | 297 Route 72 W Ste 35, Pmb 130, Manahawkin, NJ 08050 | 2020-05-14 |
| 1700428364 | Candice Lynn Ferretti | Counselor | Ocean Mental Health Services- Crisis Stabilization, 712 E. Bay Ave Ste 21-e, Manahawkin, NJ 08050 | 2019-10-15 |
| 1194366229 | A Place for Us Atlantic County Women's Center | Case Management | 98 Atlantis Ave, Manahawkin, NJ 08050 | 2019-09-30 |
| 1831669167 | Hcp Manahawkin Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1272 Route 72 West, Manahawkin, NJ 08050 | 2018-11-29 |
| 1659893576 | Sara Rodino | Physical Therapist | 183 Anchor Ave, Manahawkin, NJ 08050 | 2017-07-12 |
| 1922520980 | Donnah Marie Celentano | Nurse Practitioner | 547 Route 72 East, Manahawkin, NJ 08050 | 2017-07-12 |
| 1639612757 | Annemarie Sacco | Counselor | 1140 Nj-72, Manahawkin, NJ 08050 | 2016-11-21 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1760853188 | Jane Eremus-foster | Nurse Practitioner | 547 Route 72 W, Manahawkin, NJ 08050 | 2015-10-12 |
| 1710395579 | Stafford Medical P.a. | Specialist | 1346 Rt 72 W, Manahawkin, NJ 08050 | 2014-07-24 |
| Find all providers in zip 08050 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518509 | James Preston Nangeroni | Surgery | 1100 Route 72 W Ste 303, Manahawkin, NJ 08050-2474 | 2013-06-24 |
| 1649203498 | Nole E Almendras | Surgery | 585 Us Highway Route 72 E, Manahawkin, NJ 08050 | 2006-07-07 |
| 1487629614 | Sergey Grachev | Surgery | 115 E Bay Ave, Manahawkin, NJ 08050-3109 | 2006-02-21 |
| 1588665947 | Carey Penrod | Surgery | 1364 Route 72 W, Suite 5, Manahawkin, NJ 08050-2485 | 2005-08-09 |
| 1952540395 | Stafford Surgical Specialists, LLC | Surgery | 1100 Route 72 W, Manahawkin, NJ 08050-2468 | 2009-02-09 |
| 1477702751 | Floro G Guerrero | Surgery | 24 Nautilus Dr, Manahawkin, NJ 08050-2490 | 2008-09-11 |
| 1881867190 | Ocean Surgical Associat | Surgery | 24 Nautilus Dr, Suite 2, Manahawkin, NJ 08050-2490 | 2008-04-08 |
| 1659565067 | Jonathan M Reich | Surgery | 1100 Route 72 W, Suite 303, Manahawkin, NJ 08050-2468 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002867 | Herrmann Rnfa LLC | Surgery | 37 Center Ave, Cedar Grove, NJ 07009-1015 | 2020-08-04 |
| 1003437492 | New Jersey Robotic Surgery Associates PC | Surgery | 114 Essex St Ste 102, Rochelle Park, NJ 07662-4342 | 2020-04-27 |
| 1386273803 | Felere Cherfils | Surgery | 10 Wyckoff Dr, Pittstown, NJ 08867-4236 | 2020-04-06 |
| 1841829983 | Naeem Patel | Surgery | 1209 89th St, North Bergen, NJ 07047-4462 | 2020-04-01 |
| 1184255119 | Impact Medical & Diagnostics of Nj PC | Surgery | 145 N Franklin Tpke Ste 106, Ramsey, NJ 07446-1634 | 2020-01-29 |
| 1598316143 | Heritage Laparoscopy Acute Care Surgery PC | Surgery | 9 Post Rd Ste M7, Oakland, NJ 07436-1615 | 2019-09-25 |
| 1013570506 | Atlanticare Center for Orthopedic Surgery | Surgery | 2500 English Creek Ave Ste 1201, Egg Harbor Twp, NJ 08234-5549 | 2019-04-19 |
| 1881157550 | Somerset Surgical Associates,llc | Surgery | 575 Route 28 # 3107, Raritan, NJ 08869-1354 | 2019-04-10 |
| 1154884203 | Buchholz Bariatrics | Surgery | 1647 Bay Ave, Point Pleasant Boro, NJ 08742-4501 | 2019-04-07 |
| 1023589553 | L.i.v. Medical Hydration Therapy LLC | Surgery | 201 3rd Ave Apt 3b, Belmar, NJ 07719-2050 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
| City | MANAHAWKIN |
| Zip Code | 08050 |
Please comment or provide details below to improve the information on SOUTHERN OCEAN COUNTY SURGICAL ASSOCIATION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.