NPIMap

Organization Active NPI

Ocean Surgical & Oncology Associates, P.C

  • Surgical Oncology Physician
  • Brick, NJ
National Provider Identifier
1205034816
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
25MA08247200 Issued in NJ
Legal business name
OCEAN SURGICAL & ONCOLOGY ASSOCIATES, P.C
Practice address
478 Brick Blvd
Brick, NJ 08723-6077
Phone
(732) 701-4848
Fax
(732) 701-1469
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Miss Debra J Hagaman
Title
Manager
Phone
(732) 701-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X 25MA08247200 NJ Primary

Addresses

Primary practice location

478 Brick Blvd
Brick, NJ 08723-6077

Mailing address

478 Brick Blvd
Brick, NJ 08723-6077
Phone (732) 701-4848

Other identifiers 3

IdentifierTypeStateIssuer
ZE1773OtherNJHEALTHNET
0159794MedicaidNJ
DH1203OtherNJRR MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1205034816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236077",
            "telephone_number": "732-701-4848",
            "fax_number": "732-701-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236077",
            "telephone_number": "732-701-4848",
            "fax_number": "732-701-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SURGICAL & ONCOLOGY ASSOCIATES, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGAMAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-701-4848",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA08247200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "ZE1773",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159794",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DH1203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

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