Shore Professional Services LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0400140258 Issued in NJ

Legal business name

SHORE PROFESSIONAL SERVICES LLC

Practice address

1354 Forest Glen CT
Toms River, NJ 08755-1386

Phone

(732) 557-0379

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Elmer Sonza Sadiang-Abay, APRN-BCNPI 1245399153

Title

Adult Nurse Practitioner

Phone

(732) 557-0379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Elmer Sonza Sadiang-Abay, RN., MSN, APRN-BC

  • Adult Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1245399153
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1285801399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 FOREST GLEN CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551386",
            "telephone_number": "732-557-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 FOREST GLEN CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551386",
            "telephone_number": "732-557-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SADIANG-ABAY",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "SONZA",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "732-557-0379",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NJ",
            "license": "0400140258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Neurology, PA
• Shore Optical
• Shore Orthodontics PA
• Shore Orthodontics, PA
• Shore Pointe Chiropractic P a
• Shore Shoulder Surgery
• Shore Therapy Services LLC
• Shore Touch Pediatrics, LLC
• Joseph T Shore
• Shoreline Chiropractic LLC

• Nursing Facility/Intermediate Care Facility in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Nursing Facility/Intermediate Care Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.