Shoremark Medical, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SHOREMARK MEDICAL, LLC

Practice address

911 Main St
Belmar, NJ 07719-2723

Phone

(732) 292-3135

Fax

(732) 280-2872

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Philip George Passes, DO/MBA

Title

Manager

Phone

(732) 292-3135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1487986444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MAIN ST",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192723",
            "telephone_number": "732-292-3135",
            "fax_number": "732-280-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MAIN ST",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192723",
            "telephone_number": "732-292-3135",
            "fax_number": "732-280-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREMARK MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "PASSES",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-292-3135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO/MBA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A. Schmidt Jr., M.D.
• Beth Scott
• Teresa Sementa, MA, CCC-SLP
• Saumil Shah
• Shore Dental Arts, Professional Association
• Shoreside in Home Therapy
• Smiles by the Sea, L.L.C.
• Giuliano Solger
• Fady Shokry Soliman
• Samara Souza

• Community Health Clinic/Center in Belmar, NJ
• Providers in Belmar, NJ by specialty
• Community Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.