| Ocean Primary Care Llc | |
|
1459 Sonoma Ct Toms River NJ 08753-2983 | |
| (732) 240-1100 | |
| (732) 240-1127 |
| Full Name | Ocean Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1459 Sonoma Ct, Toms River, New Jersey |
| Authorized Official Name and Position | Vipul Parikh (OWNER) |
| Authorized Official Contact | 7322401100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Primary Care Llc 1459 Sonoma Ct Toms River NJ 08753-2983 Ph: (732) 232-9852 | Ocean Primary Care Llc 1459 Sonoma Ct Toms River NJ 08753-2983 Ph: (732) 240-1100 |
| NPI Number | 1730753062 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 3173924362 |
|---|---|
| Medicare Enrollment ID | O20210625000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730753062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Vipul K Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518982958 PECOS PAC ID: 8022182054 Enrollment ID: I20080808000302 |
| Provider Name | Cassandra Marie Surgent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821482399 PECOS PAC ID: 5799095642 Enrollment ID: I20151105001869 |
| Provider Name | Shannon Cathleen Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093469744 PECOS PAC ID: 2567858111 Enrollment ID: I20220407000023 |
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