SOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC (NPI# 1326187444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326187444 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC |
| Other Organization Name | SOUTHERN OCEAN PRIMARY CARE ASSC LLC |
| Practice Address |
53 Nautilus Drive Suite B Manahawkin NJ 08050 |
| Practice Telephone | 6099786266 |
| Practice Fax Number | 6099785006 |
| Mailing Telephone | 6099786266 |
| Mailing Fax Number | 6099785006 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | MRS. SUSAN BETTINGER (BILLING SUPERVISOR) |
| Authorized Official Telephone | 6099786266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Ocean Primary Care Assc LLC | Doing Business As Name - Organization |
| Street Address |
53 NAUTILUS DRIVE SUITE B |
| City | MANAHAWKIN |
| State | NJ |
| Zip Code | 08050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851430961 | Walter P Miller | Family Medicine | 53 Nautilus Drive, Suite B, Manahawkin, NJ 08050 | 2007-02-05 |
| 1871633370 | Herbert J Rudolph | Family Medicine | 53 Nautilus Drive, Suite B, Manahawkin, NJ 08050 | 2007-02-07 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817324 | Adeline Yvette Persaud | Family Medicine | 101 Campbell Blvd Unit 7301, Manahawkin, NJ 08050-6220 | 2017-08-16 |
| 1851430961 | Walter P Miller | Family Medicine | 53 Nautilus Drive, Suite B, Manahawkin, NJ 08050 | 2007-02-05 |
| 1629150024 | William B Glenn | Family Medicine | 1301 Rt.72 West, Suite 240, Manahawkin, NJ 08050-3130 | 2006-10-19 |
| 1053348417 | Liviu T Holca | Family Medicine | 1137 Beacon Ave, Manahawkin, NJ 08050-2419 | 2006-06-28 |
| 1588854459 | Kimberly Ann Hogan | Family Medicine | 1301 Route 72 W, Suite 240, Manahawkin, NJ 08050-2483 | 2007-07-27 |
| 1871633370 | Herbert J Rudolph | Family Medicine | 53 Nautilus Drive, Suite B, Manahawkin, NJ 08050 | 2007-02-07 |
| 1841368958 | James R Henry | Family Medicine | 1301 Route 72 W, Suite 300, Manahawkin, NJ 08050-2417 | 2006-11-30 |
| 1891877288 | John J Kenny | Family Medicine | 1301 Route 72 W, Suite 240, Manahawkin, NJ 08050-2417 | 2006-10-19 |
| 1497837744 | Michael J Raguso-failla | Family Medicine | 1301 Route 72 W, Suite 240, Manahawkin, NJ 08050-2417 | 2006-10-19 |
| 1407938780 | Caroline B Mastro | Family Medicine | 1301 Route 72 W, Suite 240, Manahawkin, NJ 08050-2417 | 2006-10-19 |
| Find all providers in MANAHAWKIN | ||||
| City | MANAHAWKIN |
| Zip Code | 08050 |
Please comment or provide details below to improve the information on SOUTHERN OCEAN PRIMARY CARE ASSOCIATES 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.