Active NPI
Two Oceans Wellness Medical Group East PC
- Family Medicine Physician
- Oceanport, NJ
National Provider Identifier
1487458063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TWO OCEANS WELLNESS MEDICAL GROUP EAST PC
- Practice address
- 12 Russel Ave
Oceanport, NJ 07757-1249 - Phone
- (808) 756-0739
- NPI assigned
- Apr 2, 2025
- 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. Kristine I McCoy, MD
- Title
- Owner
- Phone
- (808) 756-0739
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12 Russel Ave
Oceanport, NJ 07757-1249
Mailing address
12 Russel Ave
Oceanport, NJ 07757-1249
Phone (808) 756-0739
National Provider Directory
National Provider DirectoryLocations
304 Main St
Avon by the Sea, NJ 07717
Phone (808) 756-0739
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Oceanport, NJ
- NPI 1922105394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786233600000",
"number": "1487458063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 RUSSEL AVE",
"city": "OCEANPORT",
"state": "NJ",
"postal_code": "077571249",
"telephone_number": "808-756-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 RUSSEL AVE",
"city": "OCEANPORT",
"state": "NJ",
"postal_code": "077571249",
"telephone_number": "808-756-0739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWO OCEANS WELLNESS MEDICAL GROUP EAST PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-02",
"last_updated": "2026-08-09",
"certification_date": "2026-08-09",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-756-0739",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanport, NJ
- Deborah Hall Sullivan, REGISTERED NURSE
- Kristia Elizabeth Takacs, LAC
- Transitional Services Associates. LLC
- Kristin S Trezza, SLP
- Frances Trotman
- Two Oceans Wellness Medical Group West PC
- Unity Place of Monmouth County
- Unity Place of Monmouth County
- John Walter Vanlenten, DMD
- Vitality Wellness Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.