Active NPI
Southern Ocean Osic, Inc
- Oral & Maxillofacial Surgery (D.M.D.)
- Manahawkin, NJ
National Provider Identifier
1760910046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DI17809
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Navilio, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Manahawkin, NJ
- NPI 1568439099
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
- Southern Ocean County Dialysis Clinic, LLC
- Southern Ocean County Hospital
- Southern Ocean County Hospital
- Southern Ocean County Surgical Association, LLC
- Southern Ocean Oral Surgery & Implant Center, Inc.
- Southern Ocean Otolaryngology,PA
- Southern Ocean Pediatric Associates, P.C.
- Southern Ocean Pediatrics and Family Medicine
- Southern Ocean Primary Care Associates LLC
- Southern Ocean Registered Nurse First Assistant (Rnfa),LLC
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.