Oakhurst Endoscopy ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

NONE REQUIRED Issued in NJ

Legal business name

OAKHURST ENDOSCOPY ASC LLC

Practice address

1907 Highway 35
Suite 9
Oakhurst, NJ 07755-2765

Phone

(732) 517-8885

Fax

(732) 517-0304

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Phillip Clendenin

Title

Chief Manager of LLC

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ocean Surgical Pavilion, Inc. Doing business as

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1205809795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156103",
            "telephone_number": "732-517-8885",
            "fax_number": "732-517-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 HIGHWAY 35",
            "address_2": "SUITE 9",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552765",
            "telephone_number": "732-517-8885",
            "fax_number": "732-517-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHURST ENDOSCOPY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHIEF MANAGER OF LLC",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "NONE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3385809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Surgical Pavilion, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ocean Endorcine, LLC
• Ocean Integrated Wellness Center
• Ocean Park Medical Associates
• Ocean Park OB-GYN, PA

• Ambulatory Surgical Clinic/Center in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.