Mse Medical Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA04086800 Issued in NJ

Legal business name

MSE MEDICAL SERVICES

Doing business as

Long Beach Island Medical Center

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

Last updated

Aug 22, 2020By 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

Joseph Patrick Clancy Jr., MDNPI 1710914080

Title

Owner

Phone

(609) 361-7100

Specialties & licenses 1

Addresses

Other names 1

• Long Beach Island Medical Center Doing business as

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

CLIA laboratory certificates

Practitioners 1

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
  Authorized official Same address or phone

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346284635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 WEST 9TH ST",
            "address_2": "SUITE 2",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084634",
            "telephone_number": "609-361-7100",
            "fax_number": "609-361-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 WEST 9TH ST",
            "address_2": "SUITE 2",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084634",
            "telephone_number": "609-361-7100",
            "fax_number": "609-361-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-361-7100",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04086800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Island Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Ship Bottom, NJ
• Providers in Ship Bottom, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.