SHORE MEMORIAL HOSPITAL NPI 1689795338

NPI Information

NPI: 1689795338
Provider Name: SHORE MEMORIAL HOSPITAL

Doing Business As: SMH PROFESSIONAL SERVICES

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1 EAST NEW YORK AVE
SOMERS POINT, NJ
ZIP 08244
Phone: (609) 653-3213
Get Directions

SHORE MEMORIAL HOSPITAL is a hematology and oncology internal medicine in Somers Point, NJ. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SHORE MEMORIAL HOSPITAL NPI is 1689795338. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smh Professional Services.

The provider's business location address is:

1 EAST NEW YORK AVE
SOMERS POINT, NJ
ZIP 08244-340
Phone: (609) 653-3213
Fax: (609) 653-3942

The provider's authorized official is Ronald W. Johnson .
The authorized official title is President And Ceo and has the following contact phone number (609) 653-3545.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 5/30/2014.

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	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine		NEW JERSEY	No
2	104100000X	Social Worker			NEW JERSEY	No
3	104100000X	Social Worker		MA65533	NEW JERSEY	No
4	133N00000X	Nutritionist		MA65533	NEW JERSEY	No
5	207V00000X	Obstetrics & Gynecology		MA65533	NEW JERSEY	No
6	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MA65533	NEW JERSEY	No
7	207RC0200X	Internal Medicine	Critical Care Medicine	25MA04612900	NEW JERSEY	No
8	207RP1001X	Internal Medicine	Pulmonary Disease	25MA04612900	NEW JERSEY	No
9	2085R0001X	Radiology	Radiation Oncology	25MA08489700	NEW JERSEY	No
10	207RH0003X	Internal Medicine	Hematology & Oncology	MB052916	NEW JERSEY	Yes

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
1	171783	MEDICARE UPIN	NEW JERSEY
2	528984	MEDICARE OSCAR/CERTIFICATION	NEW JERSEY
3	8948909	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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