Organization Active NPI

Shore Pulmonary, PA

  • Pulmonary Disease Physician
  • Manasquan, NJ
National Provider Identifier
1053382499
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SHORE PULMONARY, PA
Practice address
2640 Highway 70
Building 6-a
Manasquan, NJ 08736-2609
Phone
(732) 528-5900
Fax
(732) 775-1212
NPI assigned
Feb 1, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Janet Lee Leech
Title
Practice Manager
Phone
(732) 575-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NJ Primary

Addresses

Primary practice location

2640 Highway 70
Building 6-a
Manasquan, NJ 08736-2609

Mailing address

2640 Highway 70
Building 6-a
Manasquan, NJ 08736-2609
Phone (732) 528-5900

Other identifiers 1

IdentifierTypeStateIssuer
3020401MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000032 NJ Part B Supplier - Clinic/Group Practice 3173593431 Receives reassigned benefits from 18 practitioners
Practice locations: Ocean, NJ; Manasquan, NJ; Little Silver, NJ; Brick, NJ

National Provider Directory

National Provider Directory

Locations

1608 Route 88 W
Ste 117
Brick, NJ 08724
Phone (732) 775-9075

27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 575-1100

2640 Highway 70
Ste 6A
Manasquan, NJ 08736
Phone (732) 528-5900

301 Bingham Ave
Ste 1B
Ocean, NJ 07712
Phone (732) 775-9075

301 Bingham Ave
Ste B
Ocean, NJ 07712
Phone (732) 575-1100

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.351
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHEDD

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1053382499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70",
            "address_2": "BUILDING 6-A",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362609",
            "telephone_number": "732-528-5900",
            "fax_number": "732-775-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HIGHWAY 70",
            "address_2": "BUILDING 6-A",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362609",
            "telephone_number": "732-528-5900",
            "fax_number": "732-775-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PULMONARY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "LEECH",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "732-575-1100"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.