SHORE VASCULAR,PC (NPI# 1063692317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063692317 |
| Entity Type | Organization |
| Organization Name | SHORE VASCULAR,PC |
| Practice Address |
2435 Highway 34 184 Manasquan NJ 08736-1807 |
| Practice Telephone | 7322929227 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | DR. LOUIS GRELLA (PRESIDENT) |
| Authorized Official Telephone | 7322929227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA61104 | NJ | Other Service Providers |
| Street Address |
2435 HIGHWAY 34 184 |
| City | MANASQUAN |
| State | NJ |
| Zip Code | 08736-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871068726 | Primary Care Providers, LLC | Nurse Practitioner | 2640 Hwy 70, Bldg.5 Suite 102b, Manasquan, NJ 08736 | 2018-10-08 |
| 1740767359 | Shannon Weaver | Midwife | 2671 Hwy 70, Manasquan, NJ 08736 | 2018-07-26 |
| 1639661887 | Savvymed | Durable Medical Equipment & Medical Supplies | 2517 Highway 35 Ste 103, Manasquan, NJ 08736 | 2018-06-04 |
| 1396241618 | Vicki Curran | Counselor | 147 Union Lane, Suite 202, Manasquan, NJ 08736 | 2018-04-04 |
| 1700304086 | Michael Joseph Panella | Psychologist | 2414 Route 34, Suite 103, Manasquan, NJ 08736 | 2017-09-06 |
| 1720513153 | Michael P Keenan | Health Educator | 93 Atlantic Ave, Manasquan, NJ 08736 | 2017-04-24 |
| 1285069245 | Victoria Helen Tancsak | Counselor | 200 Atlantic Ave Suite G, Manasquan, NJ 08736 | 2013-09-10 |
| 1427497841 | Sushma Patel | Optometrist | 2516 Highway 35 Ste 104, Manasquan, NJ 08736 | 2013-06-19 |
| 1972852523 | Adam Wesley Thomas | Counselor | 2519 Route 35 South, #m203, Manasquan, NJ 08736 | 2012-08-29 |
| 1710259635 | George Francis Larkin I | Dentist | 2517 St. Hwy. 35, Bldg. G Suite202, Manasquan, NJ 08736 | 2012-02-08 |
| Find all providers in zip 08736 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891059390 | Lois Ann Eder | Specialist | 47 S Jackson Ave, Manasquan, NJ 08736-3812 | 2012-06-28 |
| 1649219288 | Patricia Buck | Specialist | 2420 Highway 34, Manasquan, NJ 08736-1808 | 2006-06-06 |
| 1679534176 | Paul Robert Farrell | Specialist | 2640 Route 70, Manasquan, NJ 08736-2609 | 2006-04-01 |
| 1992012371 | Frederick A. Depaola, Md, LLC | Specialist | 2444 Highway 34, Manasquan, NJ 08736-1818 | 2010-09-08 |
| 1811910599 | Melvyn J Ravitz | Specialist | 2671 Highway 70, Suite B, Manasquan, NJ 08736-2605 | 2006-07-25 |
| 1790759983 | Philip Louis Infantolino | Specialist | 2640 Highway 70, Building 11, Manasquan, NJ 08736-2609 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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| 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.