Central Ocean County Diagnostic Imaging Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

23357 Issued in NJ

Legal business name

CENTRAL OCEAN COUNTY DIAGNOSTIC IMAGING CENTER, LLC

Doing business as

Central Ocean Imaging

Practice address

5 Lacey Rd
Forked River, NJ 08731-4238

Phone

(609) 971-1606

Fax

(609) 971-1632

NPI assigned

Jun 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick M O'Connor, COO

Title

Coo

Phone

(609) 971-1606

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Ocean Imaging Doing business as

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548207236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "08731",
            "telephone_number": "609-971-1606",
            "fax_number": "609-971-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314238",
            "telephone_number": "609-971-1606",
            "fax_number": "609-971-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OCEAN COUNTY DIAGNOSTIC IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "609-971-1606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "23357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053295",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Ocean Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn R. Candeletti, PH.D.
• Shane Capone, D.P.T.
• Natalie Marie Carr, PA-C
• Toniann Nancy Catanzaro, PT, DPT
• Cavalier Senior Care
• Patricia Ann Christensen, NP
• Yan Lok Chu
• Joseph Ciaburri
• Samantha Cimirro, OTR/L
• Lisa Ciniello

• Radiology Clinic/Center in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Radiology Clinic/Center 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.