SHORE MEMORIAL HOSPITAL (NPI# 1689795338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689795338 |
| Entity Type | Organization |
| Organization Name | SHORE MEMORIAL HOSPITAL |
| Other Organization Name | SMH PROFESSIONAL SERVICES |
| Practice Address |
1 East New York Ave Somers Point NJ 08244-2340 |
| Practice Telephone | 6096533213 |
| Practice Fax Number | 6096533942 |
| Mailing Telephone | 6096533213 |
| Mailing Fax Number | 6096533942 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-05-30 |
| Authorized Official Name | MR. RONALD W. JOHNSON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6096533545 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHORE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
NJ | Allopathic & Osteopathic Physicians | |
| N | 104100000X | Social Worker | NJ | Behavioral Health & Social Service Providers | |
| N | 104100000X | Social Worker | MA65533 | NJ | Behavioral Health & Social Service Providers |
| N | 133N00000X | Nutritionist | MA65533 | NJ | Dietary & Nutritional Service Providers |
| N | 207V00000X | Obstetrics & Gynecology | MA65533 | NJ | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MA65533 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MB052916 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA046129 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA04612900 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25MA08489700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8948909 | 05 |
| Other Name | Type Code |
|---|---|
| SMH Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374658 | Shore Memorial Hospital | General Acute Care Hospital | 1 E New York Ave, Somers Point, NJ 08244-2340 | 2005-08-25 |
| 1851384838 | Shore Memorial Hospital | Clinic/Center | 2605 Shore Rd, Northfield, NJ 08225-2136 | 2005-08-25 |
| 1629070149 | Shore Memorial Hospital | General Acute Care Hospital | 1 E New York Ave, Somers Point, NJ 08244-2340 | 2005-08-15 |
| Street Address |
1 EAST NEW YORK AVE |
| City | SOMERS POINT |
| State | NJ |
| Zip Code | 08244-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487618427 | Anthony J Rizzetta | Internal Medicine | 1 East New York Ave, Shore Physicians, Somers Point, NJ 08244-0000 | 2006-04-14 |
| 1962808519 | Shore Specialty Consultants | Clinic/Center | 1 East New York Ave, Somers Point, NJ 08244 | 2014-11-10 |
| 1033532189 | Amit H Ray | Internal Medicine | 1 East New York Ave, Somers Point, NJ 08244 | 2014-01-27 |
| 1407283658 | Christine Marie Gabrielli | Social Worker | 1 East New York Ave, Somers Point, NJ 08244 | 2013-10-02 |
| 1053674390 | Gene Iucci | Internal Medicine | 1 East New York Ave, 2nd Fl, Somers Point, NJ 08244-2340 | 2012-06-21 |
| 1740417385 | Dara Lankaranian | Internal Medicine | 1 East New York Ave, Somers Point, NJ 08244 | 2009-06-21 |
| 1114174687 | Sridevi Yangala | Internal Medicine | 1 East New York Ave, Somers Point, NJ 08244 | 2008-08-26 |
| 1386765097 | Smh Cardiology LLC | Specialist | 1 East New York Ave, Somers Point, NJ 08244-2340 | 2007-04-02 |
| 1477680304 | Charles Vincent Roche IIi | Internal Medicine | 1 East New York Ave, Somers Point, NJ 08244 | 2007-02-27 |
| 1255349023 | Michelle Kiang | Pediatrics | 1 East New York Ave, Shore Memorial Hospital - Chop Connection, Somers Point, NJ 08244 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185181 | Robert Bray | Dentist | 620 Shore Road, Somers Point, NJ 08244 | 2019-10-14 |
| 1730613316 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Euclid Avenue, Somers Point, NJ 08244 | 2017-04-20 |
| 1578008652 | Atlanticare Physicians Group | Clinic/Center | 443 Shore Rd., 2nd Floor, Suite 201, Somers Point, NJ 08244 | 2016-12-29 |
| 1376095521 | National Vision, Inc. | Technician/Technologist | 11 & 13a Bethel Rd, Somers Point, NJ 08244 | 2016-11-03 |
| 1548621394 | Christol Alfreda Reynolds | Case Manager/Care Coordinator | 40 Chapman Blvd Apt C09, Somers Point, NJ 08244 | 2016-03-08 |
| 1568822468 | Kristin Miller | Dietitian, Registered | Shore Medical Center 100 Medical Center Way, Somers Point, NJ 08244 | 2016-03-04 |
| 1215315775 | Samantha Hill | Social Worker | 549 New Rd Ste E, Somers Point, NJ 08244 | 2015-05-15 |
| 1992057459 | Golden Heart Adult Day Care, Inc | Clinic/Center | 101 Shore Rd, Somers Point, NJ 08244 | 2012-10-09 |
| 1194012856 | Latoya Roberts | Hospitalist | 1 E. New York Ave, Somers Point, NJ 08244 | 2011-07-01 |
| 1518252873 | Shore Memorial Physicians Group PC | Family Medicine | 401 Bethel Road, Somers Point, NJ 08244 | 2011-06-15 |
| Find all providers in zip 08244 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060641 | Robert M Goldberg Md Pa | Internal Medicine | 727 Shore Rd, Somers Point, NJ 08244-2356 | 2006-12-17 |
| 1215054168 | Robert M Goldberg | Internal Medicine | 727 Shore Rd, Somers Point, NJ 08244-2356 | 2007-03-24 |
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|---|---|---|---|---|
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| 1609407337 | Regional Cancer Care Associates LLC | Internal Medicine | 9 Centre Dr Ste 100, Monroe Township, NJ 08831-5153 | 2020-01-31 |
| 1801451679 | Coastal Hematology & Oncology Center Professional Corporation | Internal Medicine | 143 Route 70, Toms River, NJ 08755-0971 | 2019-05-07 |
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 1194249565 | Mohammed Ali Jaloudi | Internal Medicine | 104 Adams Ct, Edgewater, NJ 07020-1651 | 2017-07-27 |
| 1720454564 | Community Cancer Centers of America LLC | Internal Medicine | 691 State Highway 33, Trenton, NJ 08619 | 2015-08-17 |
| 1194121152 | New Era Hemonc LLC | Internal Medicine | 473 Broadway Ste 411, Bayonne, NJ 07002-3667 | 2014-11-18 |
| 1790188050 | Vadim Zarubin | Internal Medicine | 377 Jersey Ave Ste 160, Jersey City, NJ 07302-4397 | 2014-10-01 |
| 1932501350 | Hematology Oncology Consultants LLC | Internal Medicine | 3086 Rt 27, Suite #8, Kendall Park, NJ 08824-1658 | 2014-09-17 |
| 1497095053 | Regional Cancer Care Associates | Internal Medicine | 30 Rehill Ave Fl 2, Suite 2500, Somerville, NJ 08876-2500 | 2013-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SOMERS POINT |
| Zip Code | 08244 |
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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.