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OCEAN MONMOUTH CARE LLC NPI 1275851917


NPI Information

NPI: 1275851917
Provider Name: OCEAN MONMOUTH CARE, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 31D2132644

Address:
150 BRICK BLVD
BRICK, NJ
ZIP 08723
Phone: (732) 458-2180
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OCEAN MONMOUTH CARE, LLC is a methadone clinic center in Brick, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. OCEAN MONMOUTH CARE, LLC NPI is 1275851917. The provider is registered as an organization entity type.

The provider's business location address is:

150 BRICK BLVD
BRICK, NJ
ZIP 08723-182
Phone: (732) 458-2180
Fax: (732) 458-2185

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Contract Managem and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 31D2132644 - other - alcohol drug trmt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2010 and was last updated on 12/23/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadone2000451-09NEW JERSEYYes

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: 5/5/2024

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