Ocean Plastic Surgery PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB07162600 Issued in NJ

Legal business name

OCEAN PLASTIC SURGERY PA

Practice address

413 Lakehurst Rd Ste 301
Toms River, NJ 08755-7382

Phone

(732) 255-7155

Fax

(732) 255-7455

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Edward Small, DONPI 1518956002

Title

President

Phone

(732) 255-7155

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Stephen Edward Small, DO

  • Plastic Surgery Physician
  • Toms River, NJ
  • NPI 1518956002

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1891892345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 LAKEHURST RD STE 301",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557382",
            "telephone_number": "732-255-7155",
            "fax_number": "732-255-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LAKEHURST RD STE 301",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557382",
            "telephone_number": "732-255-7155",
            "fax_number": "732-255-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-255-7155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB07162600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116220",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3735894",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2764533000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3K4764",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean Pathology PA
• Ocean Pediatric Dental
• Ocean Pediatric Smiles
• Ocean Periodontics PA
• Ocean Physicians LLC
• Ocean Primary Care LLC
• Ocean Psychotherapy Services LLC
• Ocean Pulmonary Associates, P.a.
• Ocean Rheumatology
• Ocean Spine and Adult Joint Reconstruction

• All providers in Toms River, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.