Ocean Park OB-GYN, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OCEAN PARK OB-GYN, PA

Practice address

1900 Hwy 35 S
Suite 100
Oakhurst, NJ 07755-2758

Phone

(732) 663-0030

Fax

(732) 663-0882

NPI assigned

Apr 27, 2007

Last updated

Oct 12, 2010By 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

Jeanine L Villabon

Title

Billing Credentialing Manager

Phone

(732) 663-0030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1609096890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HWY 35 S",
            "address_2": "SUITE 100",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552758",
            "telephone_number": "732-663-0030",
            "fax_number": "732-663-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HWY 35 S",
            "address_2": "SUITE 100",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552758",
            "telephone_number": "732-663-0030",
            "fax_number": "732-663-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PARK OB-GYN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "VILLABON",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "732-663-0030"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakhurst Endoscopy ASC LLC (Ocean Surgical Pavilion, Inc.)
• Oakhurst Medical Group, LLC
• Ocean Endorcine, LLC
• Ocean Integrated Wellness Center
• Ocean Park Medical Associates
• Ocean Surgical Pavilion, PC (Ocean Surgical Pavilion)
• Ocean Township Public Schools
• Daniel Dias Oliveira, DMD
• Donna Marie Papaleo, AU.D.
• Glenn S Parker, MD

• Obstetrics & Gynecology Physician in Oakhurst, NJ
• Providers in Oakhurst, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.