Active NPI
Bennett Edward Ojserkis, MD
- Pulmonary Disease Physician
- Somers Point, NJ
National Provider Identifier
1619068491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA04612900
- Practice address
- 100 Medical Center Way
Somers Point, NJ 08244-2300 - Phone
- (609) 653-3467
- Fax
- (609) 653-3643
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA04612900 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA04612900 | NJ | Primary |
Addresses
Primary practice location
100 Medical Center Way
Somers Point, NJ 08244-2300
Mailing address
100 Medical Center Way
Somers Point, NJ 08244-2300
Phone (609) 653-3467
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379686 | Other | NJ | AMERIHEALTH |
| 68763 | Other | AETNA | |
| 1908502 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04612900 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Shore Pul Assoc | Critical Care Medicine | Current | Accepting new patients |
Locations
18 W New York Ave
Somers Point, NJ 08244
Phone (609) 365-5300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Atlantic Shore Pulmonary and Sleep Medicine
- Sleep Medicine (Internal Medicine) Physician
- Somers Point, NJ
- NPI 1770646770
Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1619068491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER WAY",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442300",
"telephone_number": "609-653-3467",
"fax_number": "609-653-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER WAY",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082442300",
"telephone_number": "609-653-3467",
"fax_number": "609-653-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJSERKIS",
"first_name": "BENNETT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA04612900",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA04612900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "379686",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "68763",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1908502",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.