Provider Demographics
NPI:1780640227
Name:OCEAN MEDICAL IMAGING ASSOCIATES
Entity Type:Organization
Organization Name:OCEAN MEDICAL IMAGING ASSOCIATES
Other - Org Name:OCEAN MEDICAL IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIOLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-286-6333
Mailing Address - Street 1:21 STOCKTON DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6433
Mailing Address - Country:US
Mailing Address - Phone:732-286-6333
Mailing Address - Fax:732-505-0325
Practice Address - Street 1:21 STOCKTON DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6433
Practice Address - Country:US
Practice Address - Phone:732-286-6333
Practice Address - Fax:732-505-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3342000Medicaid
NJ3342000Medicaid