Organization
OCEAN HEALTH INITIATIVES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BERGER (C.E.O.)
(732) 719-1511
Entity
Organization
Contact information
Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 363-6656
Mailing address
3600 ROUTE 66 STE 400, NEPTUNE, NJ 07753-2645
(732) 363-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026590
—
NJ
05
—
0076244
—
NJ
05
—
0249785
—
NJ
Enumeration date
10/04/2006
Last updated
09/14/2023
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