SHORE SPECIALTY CONSULTANTS NPI 1962808519

NPI Information

NPI: 1962808519
Provider Name: SHORE SPECIALTY CONSULTANTS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 31D2130542

Address:
1 EAST NEW YORK AVE
SOMERS POINT, NJ
ZIP 08244
Phone: (609) 653-3500
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SHORE SPECIALTY CONSULTANTS is a multi-specialty clinic center in Somers Point, NJ. SHORE SPECIALTY CONSULTANTS NPI is 1962808519. The provider is registered as an organization entity type.

The provider's business location address is:

1 EAST NEW YORK AVE
SOMERS POINT, NJ
ZIP 08244
Phone: (609) 653-3500
Fax: (609) 926-4311

The provider's authorized official is David May .
The authorized official title is President and has the following contact phone number (609) 653-3500.

The CLIA number assigned to this NPI record is 31D2130542 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2014 and was last updated on 1/15/2021.

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
1	261QM1300X	Clinic/Center	Multi-Specialty		NEW JERSEY	Yes

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

NPI Synchronization or Removal

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