Organization Active NPI

Southern Ocean Osic, Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Manahawkin, NJ
National Provider Identifier
1760910046
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DI17809 Issued in NJ
Legal business name
SOUTHERN OCEAN OSIC, INC
Practice address
1322 Route 72 W Ste 204
Manahawkin, NJ 08050-2486
Phone
(609) 978-1300
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Anthony Navilio, DMDNPI 1568439099
Title
Owner
Phone
(609) 978-1300

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X DI17809 NJ Primary

Addresses

Primary practice location

1322 Route 72 W Ste 204
Manahawkin, NJ 08050-2486

Mailing address

1322 Route 72 W Ste 204
Manahawkin, NJ 08050-2486

Other names 1

  • Southern Ocean Oral Surgery & Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

1322 Route 72 W
Ste 204
Manahawkin, NJ 08050
Phone (609) 350-2524

Practitioners & affiliated clinicians

Practitioners 1

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": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1760910046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W STE 204",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W STE 204",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502486",
            "telephone_number": "609-978-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCEAN OSIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "NAVILIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-978-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI17809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Ocean Oral Surgery & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.