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SHORE PRIMARY CARE P.C. NPI 1477613057


NPI Information

NPI: 1477613057
Provider Name: SHORE PRIMARY CARE, P.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D0114950

Address:
1944 CORLIES AVE
SUITE #103
NEPTUNE, NJ
ZIP 07753
Phone: (732) 774-2336
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SHORE PRIMARY CARE, P.C. is an internal medicine in Neptune, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHORE PRIMARY CARE, P.C. NPI is 1477613057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1944 CORLIES AVE
SUITE #103
NEPTUNE, NJ
ZIP 07753-862
Phone: (732) 774-2336
Fax: (732) 774-2337

The provider's authorized official is Alan Carl Klein .
The authorized official title is President and has the following contact phone number (732) 774-2336.

The CLIA number assigned to this NPI record is 31D0114950 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/6/2011.


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
1207R00000XInternal MedicineYes

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
18466505MEDICAIDNEW JERSEY
2044883MEDICARE PINNEW 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: 4/28/2024

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