Ocean Neurosurgical

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MA22770 Issued in NJ

Legal business name

OCEAN NEUROSURGICAL

Practice address

1530 Highway 88 W
Brick, NJ 08724

Phone

(732) 458-6556

Fax

(732) 458-3267

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David A Yazdan Sr., MD

Title

Neurosurgeon

Phone

(732) 458-6556

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487712568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 HIGHWAY 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-6556",
            "fax_number": "732-458-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HIGHWAY 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-458-6556",
            "fax_number": "732-458-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN NEUROSURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAZDAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "732-458-6556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "MA22770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2853906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean Heart Group, Limited Liability Company
• Ocean Home Care LLC
• Ocean Medical Center
• Ocean Medical Center Family Health Center
• Ocean Monmouth Care, LLC
• Ocean Partnership for Children, Inc.
• Ocean Pediatric Feeding
• Ocean Perioperative Consultants P.a.
• Ocean Renal Associates, P.a.
• Ocean Smiles

• Neurological Surgery Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.