SHORE RADIATION ONCOLOGY, LLC.


Address: 425 Jack Martin Blvd, Brick, NJ 08724-7732
Phone: 7328364130

SHORE RADIATION ONCOLOGY, LLC. (NPI# 1780686741) 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) 1780686741
Entity Type Organization
Organization Name SHORE RADIATION ONCOLOGY, LLC.
Practice Address 425 Jack Martin Blvd
Brick
NJ 08724-7732
Practice Telephone 7328364130
Practice Fax Number 7328364036
Mailing Telephone 7328364130
Mailing Fax Number 7328364036
Enumeration Date 2005-06-02
Last Update Date 2020-08-22
Authorized Official Name MS. CONNIE MARNIN (OFFICE MANAGER)
Authorized Official Telephone 7328364130
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
25MA07348800 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 9083901 05

Office Location

Street Address 425 JACK MARTIN BLVD
City BRICK
State NJ
Zip Code 08724-7732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689299042 Kerrianne Theresa Reuter Registered Nurse 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-06-11
1679197933 Pessy Kramer Nurse Practitioner 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-06-02
1730701699 Suneeta Kumari Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-05-14
1306468665 Mary-catherine Skoulos Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-05-09
1073135323 Alexander Rawji Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-05-09
1184245797 Aneela Jafri Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-05-05
1285255513 Sarah Nasir Aziz Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-04-28
1841810462 Erica Ann Coffman Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-04-23
1770103871 Jia Hong Chen Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-04-20
1073133013 Mina Aknouk Student in an Organized Health Care Education/Training Program 425 Jack Martin Blvd, Brick, NJ 08724-7732 2020-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386498 Mark Malak Pharmacist 668 New Jersey Ave # 70, Brick, NJ 08724 2020-11-08
1699381681 Kimberly Granai Nurse Practitioner 1617 Nj-88, Brick Township, NJ 08724 2020-09-16
1407461346 Marina N Samuel Pharmacist 1890 Rt 88, Brick, NJ 08724 2020-09-08
1255974440 Diana Rachel Williamson Pharmacy Technician 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 2019-10-21
1710536842 Stephanie Ann Papa Nurse Practitioner 2125 Nj 88, Brick, NJ 08724 2019-09-11
1417504515 Susan B Anthony Physical Therapist 676 Overlook Ct, Brick, NJ 08724 2019-08-22
1831688076 Jennifer S Cashin Social Worker 1500 Nj-88, Brick, NJ 08724 2018-05-03
1528555315 James Kish Pt Physical Therapist 602 Yellowbrick Rd, Brick, NJ 08724 2018-04-17
1396262200 Michael Stephen Zito-govert Nurse Practitioner 1640 Route 88 West, Suite 203, Brick, NJ 08724 2017-08-23
1083140420 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1200 Route 70 East, Brick, NJ 08724 2017-05-04
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023337722 Prashant Arun Desai Radiology 425 Jack Martin Blvd, Brick, NJ 08724-7732 2010-05-20
1013034800 Douglas Andrew Miller Radiology 425 Jack Martin Blvd, Brick, NJ 08724-7732 2007-03-25
1275537144 Nathan Kaufman Radiology 425 Jack Martin Blvd, Brick, NJ 08724-7732 2005-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255856423 Lourdes Medical Associates, Pa Radiology 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 2017-08-09
1851788772 Byung Han Rhieu Radiology 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 2015-04-17
1801206776 Gary Eastwick Radiology Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 2014-05-01
1568882900 Matthew Listo Radiology 900 Route 70 # 1a, Lakewood, NJ 08701-5940 2014-04-24
1558641126 Princeton Procure Management, LLC Radiology 103 Cedar Grove Ln, Somerset, NJ 08873-4717 2011-08-26
1902104573 Jersey City Radiation Therapy LLC Radiology 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 2011-03-07
1972807824 Hackensack Radiation Therapy LLC Radiology 20 Woodridge Ave, Hackensack, NJ 07601-6013 2011-01-07
1477865426 Megan A. Mezera Radiology Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 2010-07-07
1609008333 Alina Hirsh Radiology 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 2009-08-13
1225278518 Susan M Weissman Radiology 22 Stratford Dr, Livingston, NJ 07039-5140 2009-02-25
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Competitor

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City BRICK
Zip Code 08724

Improve Information

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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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