Provider Demographics
NPI:1164013744
Name:OASIS MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:OASIS MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VPOP
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMEONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-452-2899
Mailing Address - Street 1:85 HARRISTOWN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-3323
Mailing Address - Country:US
Mailing Address - Phone:201-452-2899
Mailing Address - Fax:
Practice Address - Street 1:225 PARKSIDE AVE STE 1CAND1D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1361
Practice Address - Country:US
Practice Address - Phone:844-366-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty