NPIMap

Organization Active NPI

Ocean Pediatric Group, P.a

  • Pediatrics Physician
  • Eatontown, NJ
National Provider Identifier
1225203870
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OCEAN PEDIATRIC GROUP, P.A
Practice address
1 Industrial Way W # C
Eatontown, NJ 07724-2255
Phone
(732) 542-6451
Fax
(732) 542-1654
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Golam Garib Noaz, M.D.NPI 1992831929
Title
Physician
Phone
(732) 542-6451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1 Industrial Way W # C
Eatontown, NJ 07724-2255

Mailing address

1 Industrial Way W # C
Eatontown, NJ 07724-2255
Phone (732) 542-6451

Other identifiers 3

IdentifierTypeStateIssuer
7012101MedicaidNJ
0853704MedicaidNJ
2015706MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1 Industrial Way W
#C
Eatontown, NJ 07724
Phone (732) 542-6451

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1225203870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL WAY W # C",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242255",
            "telephone_number": "732-542-6451",
            "fax_number": "732-542-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDUSTRIAL WAY W # C",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242255",
            "telephone_number": "732-542-6451",
            "fax_number": "732-542-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PEDIATRIC GROUP, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "NOAZ",
        "authorized_official_first_name": "GOLAM",
        "authorized_official_middle_name": "GARIB",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-542-6451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7012101",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0853704",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.