Provider Demographics
NPI:1649284951
Name:OCEAN MEDICAL IMAGING ASSOCIATES
Entity type:Organization
Organization Name:OCEAN MEDICAL IMAGING ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
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:PO BOX 403318
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-3318
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:2006-07-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0074860OtherGHI
NJHEALTH NETOther0K8999
NJS10849OtherAMERICAN IMAGING MNGT
NJANC696OtherOXFORD HEALTH PLANS
NJ0K8999OtherCARECORENATL-HEALTHNET
NJ1042231OtherHORIZON NJ HEALTH
NJ3342000Medicaid
NJGHIOther0074860
NJ44N055OtherCARECORENATIONAL- AETNA
NJ0036826OtherAETNA
NJ114703500OtherUS DEPT OF LABOR OWCP
NJAMERIHEALTHOther0085217000
NJHEALTH NETOther0K8999
NJ0036826OtherAETNA
NJ=========OtherHORIZON BC BS OF NJ
NJANC696OtherOXFORD HEALTH PLANS
NJGHIOther0074860
NJCF1652Medicare PIN
NJ158432Medicare PIN