Organization Active NPI

Oceans Prime Diabetes and Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Woodbridge, NJ
National Provider Identifier
1730893769
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
OCEANS PRIME DIABETES AND ENDOCRINOLOGY LLC
Practice address
405 Plaza Dr
Woodbridge, NJ 07095-1110
Phone
(732) 993-5040
Fax
(732) 587-5486
NPI assigned
Jan 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Dr. Nikunjkumar Patel, MDNPI 1174039309
Title
Owner
Phone
(732) 993-5040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

405 Plaza Dr
Woodbridge, NJ 07095-1110

Mailing address

405 Plaza Dr
Woodbridge, NJ 07095-1110
Phone (732) 993-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230425001869 NJ Part B Supplier - Clinic/Group Practice 3173988201 Receives reassigned benefits from 3 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

1314 Hooper Ave
Ste 103
Toms River, NJ 08753

1314 Hooper Ave
Ste 103105
Toms River, NJ 08753
Phone (848) 238-0708

40 Bey Lea Rd
Ste B101
Toms River, NJ 08753
Phone (732) 240-9077

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1730893769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PLAZA DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951110",
            "telephone_number": "732-993-5040",
            "fax_number": "732-587-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PLAZA DR",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951110",
            "telephone_number": "732-993-5040",
            "fax_number": "732-587-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS PRIME DIABETES AND ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIKUNJKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-993-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.