WATER STREET PHYSICIANS (NPI# 1063730281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063730281 |
| Entity Type | Organization |
| Organization Name | WATER STREET PHYSICIANS |
| Practice Address |
300 W Water St Toms River NJ 08753-6692 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7323494030 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (SR DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MB02891000 | NJ | Suppliers |
| Street Address |
300 W WATER ST |
| City | TOMS RIVER |
| State | NJ |
| Zip Code | 08753-6692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962431569 | Anthony Cifelli | Chiropractor | 300 W Water St, Toms River, NJ 08753-6533 | 2006-07-03 |
| 1982125084 | Candice Marie Mazzoni | Physician Assistant | 300 W Water St, Toms River, NJ 08753-6692 | 2017-06-29 |
| 1932552791 | Precision Pain Management LLC | Non-Pharmacy Dispensing Site | 300 W Water St, Toms River, NJ 08753-6692 | 2016-07-18 |
| 1649668211 | Melissa A. Thompson | Nurse Practitioner | 300 W Water St, Toms River, NJ 08753-6533 | 2015-01-05 |
| 1356765267 | Brad Hinkle, LLC | Clinic/Center | 300 W Water St, Toms River, NJ 08753-6692 | 2014-02-12 |
| 1447597638 | Precision Pain Management, LLC | Anesthesiology | 300 W Water St, Suite A, Toms River, NJ 08753-6692 | 2013-01-09 |
| 1306036645 | Advanced Wellness of Toms River Professional Association | Physical Therapist | 300 W Water St, Toms River, NJ 08753-6533 | 2007-08-01 |
| 1205036159 | Cifelli Chiropractic PC | Chiropractor | 300 W Water St, Suite D, Toms River, NJ 08753-6533 | 2007-07-19 |
| 1659306769 | Water Street Physicians LLC | Family Medicine | 300 W Water St, Toms River, NJ 08753-6533 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712769 | Rashidah Nicole Hansen | Counselor | 35 W Water St, Suite # 1a, Toms River, NJ 08753 | 2020-05-27 |
| 1801425350 | Kadidiatou Diawara | Non-emergency Medical Transport (VAN) | 1747 Hooper Ave #15, 1747 Hooper Ave #15, Toms River, NJ 08753 | 2020-04-06 |
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1922651900 | Alice Marin | Massage Therapist | 917-5 Route 166, Toms River, NJ 08753 | 2019-07-19 |
| 1013407931 | Thompson Medical and Chiropractic LLC | Chiropractor | 810 Hooper Ave Ste 1, Toms River, NJ 08753 | 2018-05-16 |
| 1306335070 | Shannon Lane Shimrock | Speech-Language Pathologist | 866 Goose Creek Rd., Toms River, NJ 08753 | 2018-05-08 |
| 1760981237 | Sonali Dhir | Nurse Practitioner | Rediclinic Toms River 811 Fischer Blvd, Rediclinic Toms River, Toms River, NJ 08753 | 2018-02-09 |
| 1104351048 | Care Finders Total Care LLC | Home Health | 1314 Route 9, Pleasant Plaza, Unit 8, Toms River, NJ 08753 | 2017-04-28 |
| 1053850354 | Future Project | Day Training, Developmentally Disabled Services | 473 Us 206, Andover, NJ 08753 | 2017-02-20 |
| 1730631664 | Natasha Neves | Speech-Language Pathologist | 19 Bear Mountain Court, Toms River, NJ 08753 | 2016-10-26 |
| Find all providers in zip 08753 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508310418 | Foot Care 2 You Inc | Non-Pharmacy Dispensing Site | 9 Hospital Dr, Suite A22, Toms River, NJ 08755-6425 | 2016-08-09 |
| 1932552791 | Precision Pain Management LLC | Non-Pharmacy Dispensing Site | 300 W Water St, Toms River, NJ 08753-6692 | 2016-07-18 |
| 1578989596 | Jersey Shore Medical Associates PC | Non-Pharmacy Dispensing Site | 1028 Hooper Ave, Toms River, NJ 08753-8321 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
| City | TOMS RIVER |
| Zip Code | 08753 |
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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.