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SHORE ORTHOPAEDIC GROUP NPI 1649312968


NPI Information

NPI: 1649312968
Provider Name: SHORE ORTHOPAEDIC GROUP

Doing Business As: SHORE OPEN MRI

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
1255 HIGHWAY 70
SUITE 11S
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 942-3005
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SHORE ORTHOPAEDIC GROUP is a magnetic resonance imaging (mri) clinic center in Lakewood, NJ. SHORE ORTHOPAEDIC GROUP NPI is 1649312968. The provider is registered as an organization entity type.
The provider Is Doing Business As Shore Open Mri.

The provider's business location address is:

1255 HIGHWAY 70
SUITE 11S
LAKEWOOD, NJ
ZIP 08701-900
Phone: (732) 942-3005
Fax: (732) 942-8069

The provider's authorized official is Holly Ann Morgan .
The authorized official title is Practice Administrator and has the following contact phone number (732) 530-1515.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/21/2008.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)22302NEW 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
1148664MEDICARE 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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