NPIMap

Organization Active NPI

Shore Orthopaedic University Associates PA

  • Specialist
  • Somers Point, NJ
National Provider Identifier
1114056900
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES PA
Practice address
24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone
(609) 927-1991
Fax
(609) 926-0075
NPI assigned
Mar 5, 2007
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
John R McCloskey, M.D.NPI 1881607489
Title
President
Phone
(609) 927-1991

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

24 Macarthur Blvd
Somers Point, NJ 08244-1776

Mailing address

24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000061 NJ Part B Supplier - Clinic/Group Practice 1254308604 Receives reassigned benefits from 25 practitioners
Practice locations: Somers Point, NJ; Cape May Court House, NJ; Galloway, NJ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4 E Jimmie Leeds Rd
Ste 3
Galloway, NJ 08205
Phone (609) 748-4288

102 W New Jersey Ave
Somers Point, NJ 08244

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

710 Center St
Somers Point, NJ 08244
Phone (609) 927-1991

710 Center St
Fl 1
Somers Point, NJ 08244
Phone (609) 927-1991

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCEDD

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1114056900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ORTHOPAEDIC UNIVERSITY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "MCCLOSKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-927-1991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Jul 18, 2014; 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.