Active NPI
Shore Endocrinology Associates LLC
- Medical Specialty Clinic/Center
- Manalapan, NJ
National Provider Identifier
1407169519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- SHORE ENDOCRINOLOGY ASSOCIATES LLC
- Practice address
- 193 US Highway 9 Ste 1D
Manalapan, NJ 07726-3016 - Phone
- (732) 903-4005
- Fax
- (616) 226-4685
- NPI assigned
- Jul 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Svetlana Fomin, MD
- Title
- Director
- Phone
- (732) 685-1566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
193 US Highway 9 Ste 1D
Manalapan, NJ 07726-3016
Mailing address
113 Austin St
Tinton Falls, NJ 07712-7760
Other practice location 1
113 Austin St
Tinton Falls, NJ 07712-7760
Phone (732) 903-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Phillipsburg, NJ
- NPI 1326219924
-
- Physician Assistant
- Point Pleasant Boro, NJ
- NPI 1750825725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1407169519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 AUSTIN ST",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077127760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 US HIGHWAY 9 STE 1D",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077263016",
"telephone_number": "732-903-4005",
"fax_number": "616-226-4685"
}
],
"practiceLocations": [
{
"address_1": "113 Austin St",
"address_purpose": "LOCATION",
"city": "Tinton Falls",
"state": "NJ",
"postal_code": "077127760",
"country_code": "US",
"telephone_number": "732-903-4005",
"fax_number": "616-226-4685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHORE ENDOCRINOLOGY ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-17",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A",
"authorized_official_last_name": "FOMIN",
"authorized_official_first_name": "SVETLANA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-685-1566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.