Southern Ocean Primary Care Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC

Doing business as

Southern Ocean Primary Care Assc LLC

Practice address

53 Nautilus Drive
Suite B
Manahawkin, NJ 08050

Phone

(609) 978-6266

Fax

(609) 978-5006

NPI assigned

Feb 5, 2007

Last updated

Aug 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Bettinger

Title

Billing Supervisor

Phone

(609) 978-6266

Specialties & licenses 1

Addresses

Other names 1

• Southern Ocean Primary Care Assc LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAAGBA

Practitioners 3

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.

• Joseph Patrick Clancy Jr., MD

  • Family Medicine Physician
  • Ship Bottom, NJ
  • NPI 1710914080
  Medicare reassignment Care Compare group NPD
• Walter P Miller, MD

  • Family Medicine Physician
  • Manahawkin, NJ
  • NPI 1851430961
  Medicare reassignment Care Compare group NPD
• Susan Marie Harte, APN

  • Primary Care Nurse Practitioner
  • Manahawkin, NJ
  • NPI 1255924858
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1326187444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 NAUTILUS DRIVE",
            "address_2": "SUITE B",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-978-6266",
            "fax_number": "609-978-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NAUTILUS DRIVE",
            "address_2": "SUITE B",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "08050",
            "telephone_number": "609-978-6266",
            "fax_number": "609-978-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "BETTINGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "609-978-6266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Ocean Primary Care Assc LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Ocean Oral Surgery & Implant Center, Inc.
• Southern Ocean Osic, Inc (Southern Ocean Oral Surgery & Implant Center)
• Southern Ocean Otolaryngology,PA
• Southern Ocean Pediatric Associates, P.C.
• Southern Ocean Pediatrics and Family Medicine
• Southern Ocean Registered Nurse First Assistant (Rnfa),LLC
• Southern Ocean Speciality Physicians
• Southern Ocean Specialty Physicians, P.C.
• Southern Ocean Speech Therapy
• Southern Ocean Womens Health

• Family Medicine Physician in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.