Sea Girt Medical Associates PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MA04006100 Issued in NJ

Legal business name

SEA GIRT MEDICAL ASSOCIATES PC

Practice address

235 Route 71
Manasquan, NJ 08736-2806

Phone

(732) 223-4300

NPI assigned

Jun 23, 2010

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Sr Director Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Part of

Medvantx Inc

Practitioners 3

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.

• Frank G Almeida, M.D.

  • Internal Medicine Physician
  • Manasquan, NJ
  • NPI 1518979541
  NPD
• Peter John Kuzmick, DO

  • Internal Medicine Physician
  • Manasquan, NJ
  • NPI 1194751891
  NPD
• Kurt Eugene Von Suskil, MD

  • Family Medicine Physician
  • Manasquan, NJ
  • NPI 1750317889
  NPD

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1962713123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 ROUTE 71",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362806",
            "telephone_number": "732-223-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GIRT MEDICAL ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2010-06-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "SR DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA04006100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suanne Schaad
• Jonathan Scheick, MA, MMH, MT-BC, CBIS
• Fay M Schier, PT
• Michael Anthony Sclafani, MD
• Allison Margrethe Scott-Walenjus, DDS, MS
• Sea Girt Medical Associates, PC
• Sea Girt Physical Medicine and Rehabilitation Associates, LLC
• Mark M Seckler, M.D.
• Sandra Ann Sessa, PH.D
• Carly Sestrich, OTR/L

• Non-Pharmacy Dispensing Site in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.