| Ocean Medical Md Pa | |
|
3003 Long Beach Blvd Long Beach Township NJ 08008-2653 | |
| (609) 492-0900 | |
| (609) 492-1347 |
| Full Name | Ocean Medical Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3003 Long Beach Blvd, Long Beach Township, New Jersey |
| Authorized Official Name and Position | Todd Schmoll (OWNER PHYSICIAN) |
| Authorized Official Contact | 6094920900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Medical Md Pa 3003 Long Beach Blvd Long Beach Township NJ 08008-2653 Ph: (609) 492-0900 | Ocean Medical Md Pa 3003 Long Beach Blvd Long Beach Township NJ 08008-2653 Ph: (609) 492-0900 |
| NPI Number | 1508902040 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 06/28/2010 |
| Medicare PECOS PAC ID | 0547361750 |
|---|---|
| Medicare Enrollment ID | O20070718000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508902040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cynthia Nitschmann Schmoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922144435 PECOS PAC ID: 8426145772 Enrollment ID: I20100917000156 |
| Provider Name | Todd C Schmoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942346432 PECOS PAC ID: 8022105485 Enrollment ID: I20100917000363 |
| Provider Name | Alena Marie Lytwyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508384959 PECOS PAC ID: 3577822683 Enrollment ID: I20180118001163 |