NPIMap

Organization Active NPI

Shoremedical5 LLC

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1962981944
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHOREMEDICAL5 LLC
Practice address
9 Hospital Dr Ste B1
Toms River, NJ 08755-6425
Phone
(732) 363-7200
Fax
(866) 662-4129
NPI assigned
Aug 9, 2018
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Dr. Manoj Patel, MDNPI 1184898918
Title
Partner
Phone
(732) 363-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NJ Primary

Addresses

Primary practice location

9 Hospital Dr Ste B1
Toms River, NJ 08755-6425

Mailing address

9 Hospital Dr Ste B1
Toms River, NJ 08755-6425
Phone (732) 363-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181114000525 NJ Part B Supplier - Clinic/Group Practice 2769736537 Receives reassigned benefits from 8 practitioners
Practice locations: Toms River, NJ; Point Pleasant, NJ; Spring Lake, NJ; Wall Township, NJ; Whiting, NJ; Manahawkin, NJ; Manchester, NJ; Brick, NJ…

National Provider Directory

National Provider Directory

Locations

475 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-6600

1400 Highway 70
Ste 1
Lakewood, NJ 08701

52 Madison Ave
Ofc 1
Lakewood, NJ 08701
Phone (732) 905-2055

77 Williams St
Ste 1
Lakewood, NJ 08701

9 Hospital Dr
Ste B1
Toms River, NJ 08755
Phone (732) 349-2732

94 Stevens Rd
Ste 1
Toms River, NJ 08755

2621 State Route 138
#One
Wall Township, NJ 07719
Phone (732) 556-1060

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1962981944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-363-7200",
            "fax_number": "866-662-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-363-7200",
            "fax_number": "866-662-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREMEDICAL5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-363-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.