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SHORE POINT MEDICAL ASSOCIATES LLC NPI 1518900240


NPI Information

NPI: 1518900240
Provider Name: SHORE POINT MEDICAL ASSOCIATES LLC

Former Legal Business Name: ROUTE 70 IMAGING SERVICES LLC

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

CLIA Number: 31D2256946

Address:
900 ROUTE 70 EAST
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 901-7314
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SHORE POINT MEDICAL ASSOCIATES LLC is a radiation oncology radiology in Lakewood, NJ. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SHORE POINT MEDICAL ASSOCIATES LLC NPI is 1518900240. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Route 70 Imaging Services Llc.

The provider's business location address is:

900 ROUTE 70 EAST
LAKEWOOD, NJ
ZIP 08701-940
Phone: (732) 901-7314
Fax: (732) 901-5704

The provider's authorized official is Parvez Mahmood .
The authorized official title is President and has the following contact phone number (732) 901-7314.

The CLIA number assigned to this NPI record is 31D2256946 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 5/9/2008.


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
1208800000XUrologyNo
22085R0001XRadiologyRadiation OncologyYes

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
1091173MEDICARE 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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