Jersey Shore Radiology Associates, P.a.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA02149600 Issued in NJ

Legal business name

JERSEY SHORE RADIOLOGY ASSOCIATES, P.A.

Practice address

2100 Corlies Ave
Neptune, NJ 07753-6102

Phone

(732) 988-5796

Fax

(732) 502-0368

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

John Bocker, M.D.

Title

Director-Active, Attending

Phone

(732) 988-5796

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528063674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-5796",
            "fax_number": "732-502-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-5796",
            "fax_number": "732-502-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE RADIOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOCKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR-ACTIVE, ATTENDING",
        "authorized_official_telephone_number": "732-988-5796",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA02149600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2591308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jersey Shore Dental Group PA
• Jersey Shore Imaging, LLC
• Jersey Shore Monmouth County Associates
• Jersey Shore Neurology Associates, P.a.
• Jersey Shore Psychiatric Associates, P.C.
• Jersey Shore University Hospital
• Jersey Shore University Medical Center
• Jersey Shore University Medical Center
• Jersey Shore University Medical Center
• Jersey Shore University Medical Center Family Health Center

• Diagnostic Radiology Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Diagnostic Radiology 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.