Shore Point OB & GYN, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA04683000 Issued in NJ

Legal business name

SHORE POINT OB & GYN, LLC

Practice address

149 Bristol CT
Lakewood, NJ 08701-4635

Phone

(732) 905-6560

Fax

(732) 818-9741

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Flavius M Thompson, MD

Title

Owner

Phone

(732) 905-6560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1063842383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BRISTOL CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014635",
            "telephone_number": "732-905-6560",
            "fax_number": "732-818-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 BRISTOL CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014635",
            "telephone_number": "732-905-6560",
            "fax_number": "732-818-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE POINT OB & GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FLAVIUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-905-6560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04683000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Oral Maxillo Surgery Group PA
• Shore Orthopaedic Group
• Shore Orthopaedic Group
• Shore Outpatient Surgicenter LLC
• Shore Point Medical Associates LLC
• Shore Spine and Pain
• Shore Surgical Pavilion, LLC
• Shoshana Rose Physical Therapy
• Gitel Shreibman, MSED BCBA
• Tzivia Shreibman

• Obstetrics & Gynecology Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.