SOUTHERN OCEAN COUNTY DIALYSIS CLINIC LLC (NPI# 1306940184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306940184 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OCEAN COUNTY DIALYSIS CLINIC LLC |
| Other Organization Name | SOUTHERN OCEAN COUNTY DIALYSIS CENTER |
| Practice Address |
1301 Route 72 W First Floor Manahawkin NJ 08050-2483 |
| Practice Telephone | 6095971039 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOUTHERN OCEAN COUNTY DIALYSIS CENTER | Doing Business As Name - Organization |
| Street Address |
1301 ROUTE 72 W FIRST FLOOR |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 08050-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421625 | Pathways Neuropsychology Associates | Psychologist | 1301 Route 72 W, Suite 250, Manahawkin, NJ 08050-2483 | 2016-08-08 |
| 1548541063 | Megan Marie Saia | Physician Assistant | 1301 Route 72 W, Suite 300, Manahawkin, NJ 08050-2483 | 2011-08-30 |
| 1508158056 | Mehul M Patel | Internal Medicine | 1301 Route 72 W, Manahawkin, NJ 08050-2483 | 2011-05-03 |
| 1447572474 | Melissa Reynon | Internal Medicine | 1301 Route 72 W, Suite 300, Manahawkin, NJ 08050-2483 | 2010-02-18 |
| 1720212590 | Alliance Oral Surgery | Dentist | 1301 Route 72 W, Suite 220, Manahawkin, NJ 08050-2483 | 2009-05-08 |
| 1023252764 | Dana Felicia Pratola | Nurse Practitioner | 1301 Route 72 W, Suite 340, Manahawkin, NJ 08050-2483 | 2009-04-24 |
| 1538320551 | Neelam Gail Gidwaney | Internal Medicine | 1301 Route 72 W, Suite 300, Manahawkin, NJ 08050-2483 | 2008-06-23 |
| 1518152453 | Marcy Roshelli | Nurse Practitioner | 1301 Route 72 W, Suite 250, Manahawkin, NJ 08050-2483 | 2007-09-13 |
| 1588854459 | Kimberly Ann Hogan | Family Medicine | 1301 Route 72 W, Suite 240, Manahawkin, NJ 08050-2483 | 2007-07-27 |
| 1881805968 | Evan Christian Naylor | Internal Medicine | 1301 Route 72 W, Suite 340, Manahawkin, NJ 08050-2483 | 2007-05-24 |
| Find all providers in the same location | ||||
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417910902 | Dialysis Services of Nj Inc-manahawkin | Clinic/Center | 675 Route 72 E, Suite 1006-b, Manahawkin, NJ 08050-3501 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| 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 DIALYSIS CLINIC 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.