NPIMap

Organization Active NPI

Integrated Medical Care Center LLC

  • Adult Health Clinical Nurse Specialist
  • Toms River, NJ
National Provider Identifier
1265463624
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
26NJ00017800 Issued in NJ
Legal business name
INTEGRATED MEDICAL CARE CENTER LLC
Practice address
803 Main St
Toms River, NJ 08753-6519
Phone
(732) 557-0100
NPI assigned
Jul 5, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Ms. Carmen Perez
Title
Administrator
Phone
(732) 557-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 26NJ00017800 NJ Primary

Addresses

Primary practice location

803 Main St
Toms River, NJ 08753-6519

Mailing address

803 Main St
Toms River, NJ 08753-6519
Phone (732) 557-0100

National Provider Directory

National Provider Directory

Locations

803 Main St
Toms River, NJ 08753
Phone (732) 349-1626

Practitioners & affiliated clinicians

Practitioners 4

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1265463624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536519",
            "telephone_number": "732-557-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536519",
            "telephone_number": "732-557-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-557-0100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ00017800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.