Organization
OCEAN HEALTH INITIATIVES
Active
Organization
OCEAN HEALTH INITIATIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BERGER (CEO)
(732) 363-6655
Entity
Organization
Contact information
Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 363-6656
Mailing address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 363-6656
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23027
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026590
—
NJ
01
—
311842
UGS
NJ
Enumeration date
05/23/2005
Last updated
08/22/2020
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