NPIMap

Organization Active NPI

Shore Family Medicine Ass

  • Family Medicine Physician
  • Somers Point, NJ
National Provider Identifier
1003851759
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA32948 Issued in NJ
Legal business name
SHORE FAMILY MEDICINE ASS
Practice address
425 Bethel Rd
Somers Point, NJ 08244-2060
Phone
(609) 927-1163
NPI assigned
Jun 17, 2006
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Angelo Sparagna III, MDNPI 1518961986
Title
President
Phone
(609) 927-1163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA32948 NJ Primary

Addresses

Primary practice location

425 Bethel Rd
Somers Point, NJ 08244-2060

Mailing address

425 Bethel Rd
Somers Point, NJ 08244-2060
Phone (609) 927-1163

National Provider Directory

National Provider Directory

Locations

425 Bethel Rd
Somers Point, NJ 08244
Phone (609) 927-1163

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1003851759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442060",
            "telephone_number": "609-927-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442060",
            "telephone_number": "609-927-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE FAMILY MEDICINE ASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "SPARAGNA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-927-1163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA32948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.