Organization Active NPI

Southern Ocean Speciality Physicians

  • Obstetrics & Gynecology Physician
  • Manahawkin, NJ
National Provider Identifier
1225264666
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHERN OCEAN SPECIALITY PHYSICIANS
Practice address
1100 Route 72 W Ste 305
Manahawkin, NJ 08050-2475
Phone
(609) 978-3359
Fax
(609) 978-3060
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Edward Niewiadomski
Title
Medical Director
Phone
(609) 978-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X NJ Primary

Addresses

Primary practice location

1100 Route 72 W Ste 305
Manahawkin, NJ 08050-2475

Mailing address

1100 Route 72 W Ste 305
Manahawkin, NJ 08050-2475
Phone (609) 978-3359

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1225264666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W STE 305",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502475",
            "telephone_number": "609-978-3359",
            "fax_number": "609-978-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W STE 305",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502475",
            "telephone_number": "609-978-3359",
            "fax_number": "609-978-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCEAN SPECIALITY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "NIEWIADOMSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-978-8900"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.