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OAKHURST MEDICAL GROUP LLC NPI 1215029541


NPI Information

NPI: 1215029541
Provider Name: OAKHURST MEDICAL GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D2249233

Address:
40 MONMOUTH RD
OAKHURST, NJ
ZIP 07755
Phone: (732) 222-3243
Get Directions

OAKHURST MEDICAL GROUP, LLC is a family medicine in Oakhurst, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OAKHURST MEDICAL GROUP, LLC NPI is 1215029541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 MONMOUTH RD
OAKHURST, NJ
ZIP 07755-654
Phone: (732) 222-3243
Fax: (732) 222-3019

The provider's authorized official is Linda Macaluso .
The authorized official title is Practice Manager and has the following contact phone number (732) 222-3243.

The CLIA number assigned to this NPI record is 31D2249233 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 12/1/2016.


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
1207Q00000XFamily MedicineMA066004NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1050423MEDICARE UPINNEW JERSEY
2CK2104OTHERNEW JERSEYPALMETTO GBA - RAILROAD MEDICARE

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

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