Active NPI
Oceanside Health PLLC
- Internal Medicine Physician
- Harwich, MA
National Provider Identifier
1760137467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Maney, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220504001904 | MA | Part B Supplier - Clinic/Group Practice | 0941697247 |
Receives reassigned benefits from 2 practitioners Practice locations: Harwich, MA |
National Provider Directory
National Provider DirectoryLocations
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
- Carol J Sutherland Nickerson, LICSW BCD
- Colleen Mary Nolan, ATC
- North Country Associates, Inc.
- Yvonne Mary O'Connor, MA, BCBA
- Elizabeth Grace O'Grady, AGNP
- Orthopedic & Sports Physical Therapy of Cape Cod LLC
- Orthopedic and Sports Physical Therapy
- Janelle Patrick, LCSW
- Katherine Pena, MD
- Pepin Therapeutics LLC
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.