Oceanside Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OCEANSIDE MEDICAL, INC

Practice address

11 N 3Rd St
Hammonton, NJ 08037-1732

Phone

(800) 561-2809

Fax

(888) 545-9245

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Carmen Anthony Perrotta Sr.

Title

President-Owner

Phone

(800) 561-2809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1467597682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N 3RD ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371732",
            "telephone_number": "800-561-2809",
            "fax_number": "888-545-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N 3RD ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371732",
            "telephone_number": "800-561-2809",
            "fax_number": "888-545-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "PERROTTA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "800-561-2809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.