Active NPI
Southern Ocean Registered Nurse First Assistant (Rnfa),LLC
- Registered Nurse First Assistant
- Manahawkin, NJ
National Provider Identifier
1265699524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 26N005034800
- Legal business name
- SOUTHERN OCEAN REGISTERED NURSE FIRST ASSISTANT (RNFA),LLC
- Practice address
- 201 Peter Rd
Manahawkin, NJ 08050-3659 - Phone
- (609) 597-4603
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dianne Milligan, ARNP/C;RNFA
- Title
- President
- Phone
- (609) 597-4603
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 26N005034800 | NJ | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00009800 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP2016122 | FL |
Addresses
Primary practice location
201 Peter Rd
Manahawkin, NJ 08050-3659
Mailing address
201 Peter Rd
Manahawkin, NJ 08050-3659
Phone (609) 597-4603
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054778ATW | Other | NJ | MEDICARE ID-TYPE UNSPECIFIED |
| 0046655 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse First Assistant
- Manahawkin, NJ
- NPI 1497798490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1265699524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PETER RD",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080503659",
"telephone_number": "609-597-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PETER RD",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080503659",
"telephone_number": "609-597-4603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN OCEAN REGISTERED NURSE FIRST ASSISTANT (RNFA),LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "MILLIGAN",
"authorized_official_first_name": "DIANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-597-4603",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP/C;RNFA"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "NJ",
"license": "26N005034800",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00009800",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP2016122",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "054778ATW",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046655",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manahawkin, NJ
- Southern Ocean Osic, Inc
- Southern Ocean Otolaryngology,PA
- Southern Ocean Pediatric Associates, P.C.
- Southern Ocean Pediatrics and Family Medicine
- Southern Ocean Primary Care Associates LLC
- Southern Ocean Speciality Physicians
- Southern Ocean Specialty Physicians, P.C.
- Southern Ocean Speech Therapy
- Southern Ocean Womens Health
- Southern Regional School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.