Shore Medical Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHORE MEDICAL ASSOCIATES PA

Practice address

601 RT 37 W
Ste 101
Toms River, NJ 08755

Phone

(732) 240-4545

Fax

(732) 505-3257

NPI assigned

Apr 3, 2006

Last updated

Nov 5, 2007By 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

Mr. Lloyd H Condit

Title

Business Manager

Phone

(732) 349-0011

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1962464404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087540289",
            "telephone_number": "732-240-4545",
            "fax_number": "732-505-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RT 37 W",
            "address_2": "STE 101",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-240-4545",
            "fax_number": "732-505-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "CONDIT",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "732-349-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "C19107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shore Gardens Rehabilitation and Nursing Center LLC
• Shore Hearing Aid Center Inc (Beltone Hearing Aid Center)
• Shore Hematology-Oncology Practice,LLC
• Shore Hyperbaric Limited Liability Company
• Shore Internists LLC
• Shore Medical Specialists
• Shore Mental Healthcare, LLC
• Shore Neurology, P.a.
• Shore Neurology, PA
• Shore Optical

• Internal Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.