Ocean Breeze Associates LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

027787 Issued in NY

Legal business name

OCEAN BREEZE ASSOCIATES LLC

Doing business as

Ocean Breeze Pharmacy

Practice address

1817 Hylan Blvd
Staten Island, NY 10305-1918

Phone

(718) 987-2525

Fax

(718) 987-4316

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Suketu Patel, RPH

Title

Manager

Phone

(718) 987-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ocean Breeze Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Dominick Spada, RPH PHARM D

  • Pharmacist
  • Staten Island, NY
  • NPI 1558693218
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1912927120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051918",
            "telephone_number": "718-987-2525",
            "fax_number": "718-987-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051918",
            "telephone_number": "718-987-2525",
            "fax_number": "718-987-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BREEZE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUKETU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-987-2525",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NY",
            "license": "027787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068218",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01588861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Breeze Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocean Breeze Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yesenia Ocampo
• Benson Ocariza, PT
• Alyson Ocasio, ATC
• Ocean Breeze Associates L L C (Ocean Breeze Healthcare)
• Ocean Breeze Associates LLC (Ocean Breeze Medical Arts Pharmacy)
• Ocean Breeze Associates, LLC (Ocean Breeze Home Infusion Pharmacy)
• Ocean Breeze Associates, LLC (Ocean Breeze Medical Arts Pharmacy)
• Ocean Breeze RX Inc. (Ocean Breeze Pharmacy)
• Ocean Physical Therapy PC
• Oceanside Chiropractic

• Specialty Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialty Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.