Provider Demographics
NPI:1235142753
Name:OCEAN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:OCEAN COUNTY HEALTH DEPARTMENT
Other - Org Name:OCEAN COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH COORDINATOR/HEALTH OF
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:REGENYE
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:732-341-9700
Mailing Address - Street 1:175 SUNSET AVENUE
Mailing Address - Street 2:PO BOX 2191
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08754-2191
Mailing Address - Country:US
Mailing Address - Phone:732-341-9700
Mailing Address - Fax:732-831-6495
Practice Address - Street 1:175 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-2191
Practice Address - Country:US
Practice Address - Phone:732-341-9700
Practice Address - Fax:732-831-6495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2022-03-09
Deactivation Date:2021-05-05
Deactivation Code:
Reactivation Date:2021-06-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or LocalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8186707OtherHIV MEDICAID
NJ8186707Medicaid
NJ3689000Medicaid
NJ3689018OtherCCPED MEDICAID
NJ749910Medicare ID - Type UnspecifiedB