Southern Ocean Otolaryngology,PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHERN OCEAN OTOLARYNGOLOGY,PA

Practice address

77 Nautilus Dr
Manahawkin, NJ 08050-2448

Phone

(609) 597-0321

Fax

(609) 597-0014

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lynn E Bezpalko, D.O.NPI 1356417570

Title

President

Phone

(609) 597-0321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn E Bezpalko, D.O.

  • Otolaryngology Physician
  • Manahawkin, NJ
  • NPI 1356417570
  Medicare reassignment Care Compare group NPD Authorized official
• Orest Bezpalko, D.O.

  • Otolaryngology Physician
  • Manahawkin, NJ
  • NPI 1649347295
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1285701862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NAUTILUS DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502448",
            "telephone_number": "609-597-0321",
            "fax_number": "609-597-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NAUTILUS DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502448",
            "telephone_number": "609-597-0321",
            "fax_number": "609-597-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCEAN OTOLARYNGOLOGY,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BEZPALKO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-597-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Ocean County Hospital
• Southern Ocean County Hospital
• Southern Ocean County Surgical Association, LLC
• Southern Ocean Oral Surgery & Implant Center, Inc.
• Southern Ocean Osic, Inc (Southern Ocean Oral Surgery & Implant Center)
• Southern Ocean Pediatric Associates, P.C.
• Southern Ocean Pediatrics and Family Medicine
• Southern Ocean Primary Care Associates LLC (Southern Ocean Primary Care Assc LLC)
• Southern Ocean Registered Nurse First Assistant (Rnfa),LLC
• Southern Ocean Speciality Physicians

• Otolaryngology Physician in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.