Joseph Patrick Clancy Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA04086800 Issued in NJ

Practice address

382 W 9TH St
Suite 2
Ship Bottom, NJ 08008-4634

Phone

(609) 361-7100

NPI assigned

Jun 26, 2006

Last updated

Jun 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of South Carolina School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Ocean Primary Care Associates LLCGroup PAC ID 8123185261, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
• Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAAGBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Ocean Primary Care Associates LLC

  dba Southern Ocean Primary Care Assc LLC

  • Family Medicine Physician
  • Manahawkin, NJ
  • NPI 1326187444
  Medicare reassignment Care Compare group NPD
• Mse Medical Services

  dba Long Beach Island Medical Center

  • Family Medicine Physician
  • Ship Bottom, NJ
  • NPI 1346284635
  Authorized official Same address or phone
• Vein Associates, Inc

  • Family Medicine Physician
  • Ship Bottom, NJ
  • NPI 1245267525
  NPD (past) Authorized official
• HMH Hospitals Corporation

  dba Southern Ocean Medical Center

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Whiting, NJ
  • NPI 1609264597
  Care Compare affiliation
• Hackensack Meridian Ambulatory Care, Inc.

  dba Hackensack Meridian at Home Ocean County

  • Home Health Agency
  • Brick, NJ
  • NPI 1376638064
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Southern Ocean Medical Center

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1710914080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 W 9TH ST",
            "address_2": "SUITE 2",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W 9TH ST",
            "address_2": "SUITE 2",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084634",
            "telephone_number": "609-361-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04086800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Bott, D.C.
• Kevin P. Boyan, D.C.
• Arthur H Braunwell III, DO
• Sarah Elizabeth Campbell, PHD, LPC, NCC
• John K. Carey, LPC
• Freddie J Davis, O.D.
• Dena Elizabeth Douglas, RN HNB-BC
• Keri Fedullo, DMD
• Robert E Gleason, D.C.
• Lara Elizabeth Hartleben, DMD

• Family Medicine Physician in Ship Bottom, NJ
• Providers in Ship Bottom, 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 Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.