| Ocean Health Initiatives, Inc | |
|
10 Stockton Drive Toms River NJ 08755 | |
| (732) 363-6655 | |
| (732) 552-0378 |
| Full Name | Ocean Health Initiatives, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Stockton Drive, Toms River, New Jersey |
| Authorized Official Name and Position | Theresa Berger (CEO) |
| Authorized Official Contact | 7323636655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Health Initiatives, Inc 3600 Route 66 Suite 400 Neptune NJ 07753 Ph: (732) 363-6655 | Ocean Health Initiatives, Inc 10 Stockton Drive Toms River NJ 08755 Ph: (732) 363-6655 |
| NPI Number | 1417938044 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 03/29/2019 |
| Medicare PECOS PAC ID | 2062405277 |
|---|---|
| Medicare Enrollment ID | O20240222003201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417938044 | NPI | - | NPPES |
| 0076244 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 23453 (New Jersey) | Primary |
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