Provider Demographics
NPI:1679859102
Name:HEALING OCEANS FAMILY WELLNESS CENTER
Entity Type:Organization
Organization Name:HEALING OCEANS FAMILY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-474-4325
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08553-0080
Mailing Address - Country:US
Mailing Address - Phone:609-474-4325
Mailing Address - Fax:609-228-7464
Practice Address - Street 1:11 SCHALKS CROSSING RD # 640
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1617
Practice Address - Country:US
Practice Address - Phone:609-474-4325
Practice Address - Fax:609-228-7464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO62995207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6841201Medicaid
NJ6841201Medicaid
NJ849935PVKMedicare PIN