Organization Active NPI

Two Oceans Wellness Medical Group East PC

  • Family Medicine Physician
  • Oceanport, NJ
National Provider Identifier
1487458063
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 9, 2026

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

Authorized official

Name
Dr. Kristine I McCoy, MDNPI 1922105394
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.