NPIMap

Organization Active NPI

Shore Hematology-Oncology Practice,LLC

  • Specialist
  • Toms River, NJ
National Provider Identifier
1356522106
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SHORE HEMATOLOGY-ONCOLOGY PRACTICE,LLC
Practice address
40 Bey Lea Rd
Suite C202
Toms River, NJ 08753-2900
Phone
(732) 240-0068
Fax
(732) 240-1574
NPI assigned
Nov 21, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Sudha Kavuru, M.DNPI 1689765190
Title
Owner
Phone
(732) 240-0068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd
Suite C202
Toms River, NJ 08753-2900

Mailing address

40 Bey Lea Rd
Suite C202
Toms River, NJ 08753-2900
Phone (732) 240-0068

National Provider Directory

National Provider Directory

Locations

40 Bey Lea Rd
Ste C202
Toms River, NJ 08753
Phone (732) 240-0068

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1356522106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE C202",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-240-0068",
            "fax_number": "732-240-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE C202",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-240-0068",
            "fax_number": "732-240-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEMATOLOGY-ONCOLOGY PRACTICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "KAVURU",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-240-0068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.