Organization Active NPI

Shore Laboratory Diagnostics, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Somers Point, NJ
National Provider Identifier
1659636884
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
SHORE LABORATORY DIAGNOSTICS, LLC
Practice address
1 E New York Ave
Somers Point, NJ 08244-2340
Phone
(609) 653-3712
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Craig M Jurasinski, M.D.
Title
Chief Financial Officer
Phone
(609) 653-3712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NJ Primary

Addresses

Primary practice location

1 E New York Ave
Somers Point, NJ 08244-2340

Mailing address

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1659636884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-653-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-653-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE LABORATORY DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "JURASINSKI",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "609-653-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2012; 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.