Provider Demographics
NPI:1659567907
Name:OCEAN ENDORCINE, LLC
Entity Type:Organization
Organization Name:OCEAN ENDORCINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:SAKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-663-2900
Mailing Address - Street 1:1803 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2974
Mailing Address - Country:US
Mailing Address - Phone:732-663-2900
Mailing Address - Fax:732-663-2920
Practice Address - Street 1:1803 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2974
Practice Address - Country:US
Practice Address - Phone:732-663-2900
Practice Address - Fax:732-663-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0749110207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1194780320OtherINDIVIDUAL NPI
NJ1194780320OtherINDIVIDUAL NPI
NJH76027Medicare UPIN