Dermatopathology Institute of New Jersey, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DERMATOPATHOLOGY INSTITUTE OF NEW JERSEY, LLC

Doing business as

Ocean View Medical Laboratory

Practice address

225 State Route 35
Suite 201
Red Bank, NJ 07701

Phone

(732) 450-0820

NPI assigned

Apr 22, 2008

Last updated

Jun 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samar Shami, MDNPI 1598822389

Title

Owner

Phone

(732) 450-0820

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ocean View Medical Laboratory Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samar Shami, MD

  • Dermatopathology Physician
  • Red Bank, NJ
  • NPI 1598822389
  Authorized official Same address or phone

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1942474838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 STATE ROUTE 35",
            "address_2": "SUITE 201",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015919",
            "telephone_number": "732-450-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 STATE ROUTE 35",
            "address_2": "SUITE 201",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-450-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOPATHOLOGY INSTITUTE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "SHAMI",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-450-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "31D1064204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean View Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delta Community Supports, Inc.
• Ferda Demirtas
• Melanie Denardo, PMHNP
• Denise Dibona DDS LLC
• Denise Dibona DDS,LLC
• Donald Adam Derosa, D.M.D.
• Chelsea Nicole Derose, LSW
• Shubada Deshpande, BCBA
• Michael R Desocio, ATC
• Alec Carley Desomma, PA-C

• Clinical Medical Laboratory in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.