Provider Demographics
NPI:1164298865
Name:OCEANVIEW PHYSICIANS PLLC
Entity Type:Organization
Organization Name:OCEANVIEW PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO -OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LIBORIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSACCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-988-6733
Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-0136
Mailing Address - Country:US
Mailing Address - Phone:732-582-2613
Mailing Address - Fax:
Practice Address - Street 1:680 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-4911
Practice Address - Country:US
Practice Address - Phone:631-225-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty