Provider Type Icon

TIDAL EMERGENCY PHYSICIANS NPI 1215988449


NPI Information

NPI: 1215988449
Provider Name: TIDAL EMERGENCY PHYSICIANS
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
425 JACK MARTIN BLVD
BRICK, NJ
ZIP 08724
Phone: (732) 840-3380
Get Directions

TIDAL EMERGENCY PHYSICIANS is an emergency medicine in Brick, NJ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. TIDAL EMERGENCY PHYSICIANS NPI is 1215988449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

425 JACK MARTIN BLVD
BRICK, NJ
ZIP 08724-732
Phone: (732) 840-3380
Fax: (732) 458-3745

The provider's authorized official is Russell H. Harris .
The authorized official title is Enrollment Specialist and has the following contact phone number (800) 247-8060.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/22/2020.


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
1207P00000XEmergency MedicineYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.