Island Medical Professional Association | |
1812 Long Beach Blvd Ship Bottom NJ 08008-4443 | |
(609) 494-2323 | |
(609) 494-4141 |
Full Name | Island Medical Professional Association |
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Speciality | Family Medicine |
Location | 1812 Long Beach Blvd, Ship Bottom, New Jersey |
Authorized Official Name and Position | James Noland Suddeth (PRESIDENT) |
Authorized Official Contact | 6094942323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Island Medical Professional Association 1812 Long Beach Blvd Ship Bottom NJ 08008-4443 Ph: (609) 494-2323 | Island Medical Professional Association 1812 Long Beach Blvd Ship Bottom NJ 08008-4443 Ph: (609) 494-2323 |
NPI Number | 1265549539 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 07/05/2011 |
Medicare PECOS PAC ID | 4981731569 |
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Medicare Enrollment ID | O20100430000344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265549539 | NPI | - | NPPES |
6175601 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James Suddeth |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992812275 PECOS PAC ID: 6103953799 Enrollment ID: I20101023000103 |
Provider Name | Harry L Larkin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821105198 PECOS PAC ID: 0648307231 Enrollment ID: I20101026000483 |
Provider Name | Paul W Prosperi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952416588 PECOS PAC ID: 2567599152 Enrollment ID: I20101028001084 |
Provider Name | Jennie M Boyle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831592583 PECOS PAC ID: 6002134830 Enrollment ID: I20150407002173 |
Provider Name | Maria C Bohn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255766960 PECOS PAC ID: 1850648650 Enrollment ID: I20180725002114 |
Vein Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 W 9th St, Suite 2, Ship Bottom, NJ 08008 Phone: 609-361-7100 | |
Long Beach Island Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 382 West 9th St, Suite 2, Ship Bottom, NJ 08008 Phone: 609-361-7100 Fax: 609-361-7105 |