Organization Active NPI

Oceanside Health PLLC

  • Internal Medicine Physician
  • Harwich, MA
National Provider Identifier
1760137467
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCEANSIDE HEALTH PLLC
Practice address
55 Clearwater Dr
Harwich, MA 02645-2901
Phone
(774) 237-9116
Fax
(774) 237-3411
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Karen Maney, NPNPI 1881675528
Title
Owner
Phone
(774) 237-9116

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

55 Clearwater Dr
Harwich, MA 02645-2901

Mailing address

PO Box 87
Harwich, MA 02645-0087
Phone (774) 237-9116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504001904 MA Part B Supplier - Clinic/Group Practice 0941697247 Receives reassigned benefits from 2 practitioners
Practice locations: Harwich, MA

National Provider Directory

National Provider Directory

Locations

671 Main St
Harwich, MA 02645
Phone (508) 432-0135

265 N Main St
South Yarmouth, MA 02664
Phone (508) 394-3514

Practitioners 2

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": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1760137467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026450087",
            "telephone_number": "774-237-9116",
            "fax_number": "774-237-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CLEARWATER DR",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452901",
            "telephone_number": "774-237-9116",
            "fax_number": "774-237-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "MANEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-237-9116",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.