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OCEAN OTOLARYNGOLOGY ASSOCIATES PA NPI 1053471532


NPI Information

NPI: 1053471532
Provider Name: OCEAN OTOLARYNGOLOGY ASSOCIATES PA

Former Legal Business Name: BRUCE W PETERS DO PA

Classification: Otolaryngology - 207YX0007X
Entity Type: Organization

Specialization: Plastic Surgery within the Head & Neck

Address:
54 BEY LEA RD
SUITE 3
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 281-0100
Get Directions

OCEAN OTOLARYNGOLOGY ASSOCIATES PA is a plastic surgery within the head and neck otolaryngology in Toms River, NJ. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. OCEAN OTOLARYNGOLOGY ASSOCIATES PA NPI is 1053471532. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Bruce W Peters Do Pa.

The provider's business location address is:

54 BEY LEA RD
SUITE 3
TOMS RIVER, NJ
ZIP 08753-891
Phone: (732) 281-0100
Fax: (732) 281-0400

The provider's authorized official is Bruce W Peters .
The authorized official title is President and has the following contact phone number (732) 281-0100.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 9/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck25MB06567300NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1037986MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2E92668MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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