Organization Active NPI

Ladacin Network

  • Multi-Specialty Clinic/Center
  • Ocean, NJ
National Provider Identifier
1932379906
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LADACIN NETWORK
Practice address
1701 Kneeley Blvd
Ocean, NJ 07712-7622
Phone
(732) 493-5900
Fax
(732) 493-5980
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Ms. Patricia Black Carlesimo
Title
Executive Director
Phone
(732) 493-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1701 Kneeley Blvd
Ocean, NJ 07712-7622

Mailing address

1701 Kneeley Blvd
Ocean, NJ 07712-7622
Phone (732) 493-5900

Other identifiers 1

IdentifierTypeStateIssuer
0012807MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Ladacin Network69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1932379906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 KNEELEY BLVD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127622",
            "telephone_number": "732-493-5900",
            "fax_number": "732-493-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 KNEELEY BLVD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127622",
            "telephone_number": "732-493-5900",
            "fax_number": "732-493-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADACIN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CARLESIMO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "BLACK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-493-5900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.