Southern Ocean Oral Surgery & Implant Center, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI17809 Issued in NJ

Legal business name

SOUTHERN OCEAN ORAL SURGERY & IMPLANT CENTER, INC.

Practice address

1100 Route 72 W
Suite 202
Manahawkin, NJ 08050-2474

Phone

(609) 978-1300

Fax

(609) 978-5550

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Navilio, D.M.D.

Title

Owner

Phone

(609) 978-1300

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.

• Susan Navilio, L.P.N.

  • Licensed Practical Nurse
  • Manahawkin, NJ
  • NPI 1962861971
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227744000000",
    "number": "1346414570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W",
            "address_2": "SUITE 202",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502468",
            "telephone_number": "609-978-1300",
            "fax_number": "609-978-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W",
            "address_2": "SUITE 202",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502474",
            "telephone_number": "609-978-1300",
            "fax_number": "609-978-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCEAN ORAL SURGERY & IMPLANT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-11-27",
        "status": "A",
        "authorized_official_last_name": "NAVILIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-978-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI17809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Ocean Co Radiation Oncology
• Southern Ocean County Dialysis Clinic, LLC (Southern Ocean County Dialysis Center)
• Southern Ocean County Hospital
• Southern Ocean County Hospital
• Southern Ocean County Surgical Association, LLC
• 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 Primary Care Associates LLC (Southern Ocean Primary Care Assc LLC)

• Oral and Maxillofacial Surgery (Dentist) in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2008; 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.