Active NPI
Southern Ocean Specialty Physicians, P.C.
- Hematology & Oncology Physician
- Manahawkin, NJ
National Provider Identifier
1023041480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- SOUTHERN OCEAN SPECIALTY PHYSICIANS, P.C.
- Practice address
- 1100 Route 72 W
Suite 305
Manahawkin, NJ 08050-2468 - Phone
- (609) 978-3359
- Fax
- (609) 978-3060
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward J Niewiadomski, M.D.
- Title
- President
- Phone
- (609) 978-8900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
1100 Route 72 W
Suite 305
Manahawkin, NJ 08050-2468
Mailing address
1364 Route 72 W
Manahawkin, NJ 08050-2485
Phone (609) 971-7986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069329 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
1364 Route 72 W
Ste B
Manahawkin, NJ 08050
Phone (609) 597-3616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Fort Worth, TX
- NPI 1396733713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1023041480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 ROUTE 72 W",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502485",
"telephone_number": "609-971-7986",
"fax_number": "609-597-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ROUTE 72 W",
"address_2": "SUITE 305",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502468",
"telephone_number": "609-978-3359",
"fax_number": "609-978-3060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN OCEAN SPECIALTY PHYSICIANS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "NIEWIADOMSKI",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-978-8900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0069329",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
- Southern Ocean Pediatric Associates, P.C.
- Southern Ocean Pediatrics and Family Medicine
- Southern Ocean Primary Care Associates LLC (Southern Ocean Primary Care Assc LLC)
- Southern Ocean Registered Nurse First Assistant (Rnfa),LLC
- Southern Ocean Speciality Physicians
- Southern Ocean Speech Therapy
- Southern Ocean Womens Health
- Southern Regional School District
- Southern Shore Counseling LLC
- Southern Shores Eye Center, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.