Organization Active NPI

Ocean Cardiology PA

  • Specialist
  • Lakewood, NJ
National Provider Identifier
1003869009
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
46194 Issued in NJ
Legal business name
OCEAN CARDIOLOGY PA
Practice address
1166 River Ave
Suite 204
Lakewood, NJ 08701-5600
Phone
(732) 905-4142
Fax
(732) 905-4160
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Moshe Bacharach, MD
Title
President
Phone
73290541425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 46194 NJ Primary

Addresses

Primary practice location

1166 River Ave
Suite 204
Lakewood, NJ 08701-5600

Mailing address

1166 River Ave
Suite 204
Lakewood, NJ 08701-5600
Phone (732) 905-4142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1003869009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE",
            "address_2": "SUITE 204",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "732-905-4142",
            "fax_number": "732-905-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE",
            "address_2": "SUITE 204",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "732-905-4142",
            "fax_number": "732-905-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "BACHARACH",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "73290541425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "46194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.