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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25MA07348800 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 9083901 | 05 |
Street Address |
425 JACK MARTIN BLVD |
City | BRICK |
State | NJ |
Zip Code | 08724-7732 |
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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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 Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
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 |
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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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.