Tidal Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TIDAL EMERGENCY PHYSICIANS

Practice address

425 Jack Martin Blvd
Brick, NJ 08724-7732

Phone

(732) 840-3380

Fax

(732) 458-3745

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Russell H. Harris, MD

Title

Enrollment Specialist

Phone

(800) 247-8060

Specialties & licenses 1

Addresses

Tax ID family

Tidal Emegency Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tidal Emegency Physicians

  • Emergency Medicine Physician
  • Point Pleasant Beach, NJ
  • NPI 1518918754
  NPD tax ID

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215988449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 LAKESIDE DR",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442319",
            "telephone_number": "800-247-8060",
            "fax_number": "215-957-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-840-3380",
            "fax_number": "732-458-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "800-247-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Thomas
• Thompson Medical and Chiropractic LLC (Thompson Healthcare & Sports Medicine)
• Thompson Therapy Group LLC
• Leisha Thompson, LPC, LCADC, CJC
• Marjorie S Thompson, RPH
• Kelly Tiffany
• Tylin Tisseker
• Titan Health Partners LLC
• Titan Health Partners LLC (Astera Cancer Care)
• John Tobia

• Emergency Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.