Two Oceans Wellness Medical Group West PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TWO OCEANS WELLNESS MEDICAL GROUP WEST PC

Practice address

12 Russel Ave.
Oceanport, NJ 07757

Phone

(808) 756-0739

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kristine I McCoy, MDNPI 1922105394

Title

Owner

Phone

(808) 756-0739

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine I McCoy, M.D.

  • Family Medicine Physician
  • Oceanport, NJ
  • NPI 1922105394
  NPD (past) Authorized official

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1649065913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RUSSEL AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571249",
            "telephone_number": "808-756-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RUSSEL AVE.",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "07757",
            "telephone_number": "808-756-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO OCEANS WELLNESS MEDICAL GROUP WEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-756-0739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristia Elizabeth Takacs, LAC
• Transitional Services Associates. LLC
• Kristin S Trezza, SLP
• Frances Trotman
• Two Oceans Wellness Medical Group East PC
• Unity Place of Monmouth County
• Unity Place of Monmouth County
• John Walter Vanlenten, DMD
• Vitality Wellness Group LLC
• Regina Marie Wagar

• Family Medicine Physician in Oceanport, NJ
• Providers in Oceanport, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.