Sea Shore Plastic and Hand Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD-046385 Issued in NJ

Legal business name

SEA SHORE PLASTIC AND HAND SURGERY CENTER

Practice address

450 Jack Martin Blvd
Brick, NJ 08724-7733

Phone

(732) 206-1000

Fax

(732) 206-1790

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J. Pecoraro, M.D.NPI 1700861044

Title

Owner

Phone

(732) 206-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Michael Joseph Pecoraro, M.D.

  • Specialist
  • Brick, NJ
  • NPI 1700861044
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1962439216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-206-1000",
            "fax_number": "732-206-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247733",
            "telephone_number": "732-206-1000",
            "fax_number": "732-206-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA SHORE PLASTIC AND HAND SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "PECORARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-206-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MD-046385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avigial Schustal
• Shannon E Scibor, LPC
• Scott J Lloyd DC PA
• Michele Scott
• Shannon Scott
• Jessica Bautista Seares, M.D.
• Petronilo Lizardo Seares Jr., M.D.
• Seashore Surgical Institute, LLC
• Seaview Orthopaedics & Medical Associates LLP
• Seaview Orthopaedics & Medical Associates LLP

• Specialist in Brick, NJ
• Providers in Brick, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.