Organization Active NPI

Shore Point Obstetrics & Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, NJ
National Provider Identifier
1689747396
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA046830 Issued in NJ
Legal business name
SHORE POINT OBSTETRICS & GYNECOLOGY, P.C.
Practice address
22 Linda Dr
Jackson, NJ 08527-5026
Phone
(732) 905-6560
Fax
(732) 363-8284
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Flavius Thompson, MD
Title
President
Phone
(732) 905-6560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 25MA046830 NJ Primary

Addresses

Primary practice location

22 Linda Dr
Jackson, NJ 08527-5026

Mailing address

22 Linda Dr
Jackson, NJ 08527-5026
Phone (732) 905-6560

National Provider Directory

National Provider Directory

Locations

535 E County Line Rd
Ste 15
Lakewood, NJ 08701
Phone (732) 367-3773

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1689747396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LINDA DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275026",
            "telephone_number": "732-905-6560",
            "fax_number": "732-363-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LINDA DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275026",
            "telephone_number": "732-905-6560",
            "fax_number": "732-363-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE POINT OBSTETRICS & GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FLAVIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-905-6560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA046830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.