Provider Demographics
NPI:1033164934
Name:ONCOLOGY ASSOCIATES OCEAN CO
Entity Type:Organization
Organization Name:ONCOLOGY ASSOCIATES OCEAN CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-240-4004
Mailing Address - Street 1:512 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8021
Mailing Address - Country:US
Mailing Address - Phone:732-240-0053
Mailing Address - Fax:732-240-9360
Practice Address - Street 1:512 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8021
Practice Address - Country:US
Practice Address - Phone:732-240-0053
Practice Address - Fax:732-240-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA047955002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6332200Medicaid
NJ6332200Medicaid