| Ocean Health Initiatives | |
|
101 2nd St Lakewood NJ 08701-3324 | |
| (732) 363-6655 | |
| (732) 363-6656 |
| Full Name | Ocean Health Initiatives |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 101 2nd St, Lakewood, New Jersey |
| Authorized Official Name and Position | Theresa Berger (CEO) |
| Authorized Official Contact | 7323636655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Health Initiatives 101 2nd St Lakewood NJ 08701-3324 Ph: (732) 363-6655 | Ocean Health Initiatives 101 2nd St Lakewood NJ 08701-3324 Ph: (732) 363-6655 |
| NPI Number | 1710980917 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710980917 | NPI | - | NPPES |
| 0026590 | Medicaid | NJ | |
| 311842 | Other | NJ | UGS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 23027 (New Jersey) | Primary |
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