Southern Ocean County Surgical Association, LLC
Surgery in Manahawkin, New Jersey
1013016765- Practice location
- 44 Nautilus Dr, Suite 2B, Manahawkin, NJ 08050-2466
- Phone
- 609-597-9477
- Fax
- 609-489-0226
- Last updated
- August 22, 2020
Southern Ocean County Surgical Association, LLC is a healthcare organization based in Manahawkin, NJ. Southern Ocean County Surgical Association, LLC practices in Manahawkin, NJ. The NPI Number for Southern Ocean County Surgical Association, LLC is 1013016765 and holds a License No. 25MA07937200 (NJ). The current practice location address for Southern Ocean County Surgical Association, LLC is 44 Nautilus Dr, Suite 2B, Manahawkin, NJ 08050-2466 and can be reached out via phone at 609-597-9477 and via fax at 609-489-0226.
Provider Profile Details
- NPI Number
- 1013016765
- Provider Name
- Southern Ocean County Surgical Association, LLC
- Provider Entity Type
- Organization
- Address
- 44 Nautilus Dr, Suite 2B, Manahawkin, NJ 08050-2466
- Phone Number
- 609-597-9477
- Fax Number
- 609-489-0226
- Primary Taxonomy
- Surgery · 208600000X
- Organization Subpart
- No
- Authorized Official
- Sergey Grachev, MD · Proprietor · 609-597-9477
- Provider Enumeration Date
- September 21, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 Nautilus Dr
Suite 2B
Manahawkin, NJ 08050-2466 - City
- Manahawkin
- State
- New Jersey
- Zip
- 08050-2466
- Phone Number
- 609-597-9477
- Fax Number
- 609-489-0226
Provider Business Mailing Address Details
- Address
- 44 Nautilus Dr
Suite 2B
Manahawkin, NJ 08050-2466 - City
- Manahawkin
- State
- NJ
- Zip
- 08050-2466
- Phone Number
- 609-597-9477
- Fax Number
- 609-489-0226
License Information
- License Number
- 25MA07937200
- License State
- NJ
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Manahawkin, NJ
View all Surgery providers in Manahawkin →Frequently Asked Questions
What is the NPI number of Southern Ocean County Surgical Association, LLC?
The NPI number of Southern Ocean County Surgical Association, LLC is 1013016765. It was assigned on September 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Southern Ocean County Surgical Association, LLC?
Southern Ocean County Surgical Association, LLC is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA07937200.
Where does Southern Ocean County Surgical Association, LLC practice?
The practice location is 44 Nautilus Dr, Suite 2B, Manahawkin, NJ 08050-2466. The office can be reached at 609-597-9477 (phone) or 609-489-0226 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013016765 directly on the NPPES registry website.