Seashore Medical Associates PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SEASHORE MEDICAL ASSOCIATES PA

Practice address

48 Ansley Blvd
Pleasantville, NJ 08232-3058

Phone

(609) 641-1077

Fax

(609) 641-1023

NPI assigned

Oct 23, 2006

Last updated

Aug 25, 2008By 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

Dr. Jon W Slotoroff, DONPI 1760565071

Title

President

Phone

(609) 641-1077

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Jon W Slotoroff, DO

  • Internal Medicine Physician
  • Pleasantville, NJ
  • NPI 1760565071
  Authorized official Same address or phone

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1427131747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ANSLEY BLVD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323058",
            "telephone_number": "609-641-1077",
            "fax_number": "609-641-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ANSLEY BLVD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323058",
            "telephone_number": "609-641-1077",
            "fax_number": "609-641-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "SLOTOROFF",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-641-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2633604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.