Organization Active NPI

Shore Orthopaedic Group

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lakewood, NJ
National Provider Identifier
1649312968
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
22302 Issued in NJ
Legal business name
SHORE ORTHOPAEDIC GROUP
Practice address
1255 Highway 70
Suite 11S
Lakewood, NJ 08701-5900
Phone
(732) 942-3005
Fax
(732) 942-8069
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Mrs. Holly Ann Morgan
Title
Practice Administrator
Phone
(732) 530-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 22302 NJ Primary

Addresses

Primary practice location

1255 Highway 70
Suite 11S
Lakewood, NJ 08701-5900

Mailing address

1255 Highway 70
Suite 11S
Lakewood, NJ 08701-5900
Phone (732) 942-3005

Other names 1

  • Shore Open Mri Doing business as

National Provider Directory

National Provider Directory

Locations

1255 Route 70
Ste 11S
Lakewood, NJ 08701
Phone (732) 942-3005

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1649312968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 HIGHWAY 70",
            "address_2": "SUITE 11S",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-942-3005",
            "fax_number": "732-942-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HIGHWAY 70",
            "address_2": "SUITE 11S",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015900",
            "telephone_number": "732-942-3005",
            "fax_number": "732-942-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ORTHOPAEDIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "732-530-1515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NJ",
            "license": "22302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Open Mri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.