Shore Touch Pediatrics, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MB0622960 Issued in NJ

Legal business name

SHORE TOUCH PEDIATRICS, LLC

Practice address

600 Mule Road
Suite 10
Toms River, NJ 08757-6460

Phone

(732) 557-5555

Fax

(732) 557-9555

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nancy S Deacon, D.O.,F.A.A.P.NPI 1699746818

Title

Physician

Phone

(732) 557-5555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nancy S Deacon, DO

  • Pediatrics Physician
  • Toms River, NJ
  • NPI 1699746818
  NPD (past) Authorized official

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1326233578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MULE ROAD",
            "address_2": "SUITE 10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087576460",
            "telephone_number": "732-557-5555",
            "fax_number": "732-557-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MULE ROAD",
            "address_2": "SUITE 10",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087576460",
            "telephone_number": "732-557-5555",
            "fax_number": "732-557-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE TOUCH PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "DEACON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-557-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.,F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MB0622960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Orthodontics, PA (New Jersey Dental Sleep Solutions)
• Shore Pointe Chiropractic P a
• Shore Professional Services LLC
• Shore Shoulder Surgery
• Shore Therapy Services LLC
• Joseph T Shore
• Shoreline Chiropractic LLC (Carskaddan Chiropractic)
• Shoremedical5 LLC
• Olubunmi Adejumoke Shoyele, M.D
• Valerie May Gumban Sia, M.D.

• Clinic/Center in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.