SOUTHERN OCEAN PEDIATRICS AND FAMILY MEDICINE


Address: 162 Beachview Ave, Manahawkin, NJ 08050-7818
Phone: 6097099121

SOUTHERN OCEAN PEDIATRICS AND FAMILY MEDICINE (NPI# 1346664893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346664893
Entity Type Organization
Organization Name SOUTHERN OCEAN PEDIATRICS AND FAMILY MEDICINE
Practice Address 162 Beachview Ave
Manahawkin
NJ 08050-7818
Practice Telephone 6097099121
Enumeration Date 2014-02-04
Last Update Date 2014-02-04
Authorized Official Name DR. MICHAEL BLEIMAN (PHYSICIAN)
Authorized Official Telephone 6097099121
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
25MA06787800 NJ Ambulatory Health Care Facilities

Office Location

Street Address 162 BEACHVIEW AVE
City MANAHAWKIN
State NJ
Zip Code 08050-7818

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City MANAHAWKIN
Zip Code 08050

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Dataset Information

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.

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