Organization Active NPI

Diving and Hyperbaric Medicine, LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Long Beach Township, NJ
National Provider Identifier
1265724264
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
25MA08386100 Issued in NJ
Legal business name
DIVING AND HYPERBARIC MEDICINE, LLC
Practice address
2 W Jerome Ave
Long Beach Township, NJ 08008-3211
Phone
(609) 857-1436
NPI assigned
May 9, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Matthew Seamus Partrick, M.D.
Title
Medical Director
Phone
(609) 857-1436

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X 25MA08386100 NJ Primary
Medical Specialty Clinic/Center 261QM2500X 25MA08386100 NJ

Addresses

NPPES NPI Registry

Primary practice location

2 W Jerome Ave
Long Beach Township, NJ 08008-3211

Mailing address

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 857-1436

Other names 1

NPPES NPI Registry
  • Institute for Diving Medicine Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2011.

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1265724264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502412",
            "telephone_number": "609-857-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W JEROME AVE",
            "city": "LONG BEACH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080083211",
            "telephone_number": "609-857-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVING AND HYPERBARIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "PARTRICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SEAMUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-857-1436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NJ",
            "license": "25MA08386100",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA08386100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Diving Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.