Mse Medical Services
Organization Active NPI Family Medicine Physician · Ship Bottom, NJ
NPI 1346284635 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1346284635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MA04086800 (NJ)
- Legal business name
- MSE MEDICAL SERVICES
- Practice address
- 382 West 9TH St
Suite 2
Ship Bottom, NJ 08008-4634 - Phone
- (609) 361-7100
- Fax
- (609) 361-7105
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Joseph Patrick Clancy Jr., MD
- Title
- Owner
- Phone
- (609) 361-7100
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2060958 | Mse Medical Services | Certificate of waiver | Jun 19, 2027 |
National Provider Directory
Locations
382 W 9th St
Ste 2
Ship Bottom, NJ 08008
Phone (609) 361-7100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 25MA04086800 | NJ | Yes |
Addresses
Primary practice location
382 West 9TH St
Suite 2
Ship Bottom, NJ 08008-4634
Mailing address
382 West 9TH St
Suite 2
Ship Bottom, NJ 08008-4634
Phone (609) 361-7100
Other names
- Long Beach Island Medical Center
Other providers in Ship Bottom, NJ
- Living Acupuncture & Healing Arts Center
- Long Beach Township
- Sean Michael Martin
- Arnav R Mistry
- Michael J Moran
- New Jersey CVS Pharmacy LLC
- Mary Jean O'Meara
- Ocean County Family Care
- Ocean Family Dental, P.C.
- Taryn Parascand
All providers in Ship Bottom, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.