Provider Demographics
NPI:1881080539
Name:OASIS PROFESSIONAL MANAGEMENT GROUP LTD.
Entity type:Organization
Organization Name:OASIS PROFESSIONAL MANAGEMENT GROUP LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARKETING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:TEVES
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-473-3703
Mailing Address - Street 1:229 E 21ST ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6433
Mailing Address - Country:US
Mailing Address - Phone:212-473-3703
Mailing Address - Fax:212-473-3709
Practice Address - Street 1:229 E 21ST ST
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6433
Practice Address - Country:US
Practice Address - Phone:212-473-3703
Practice Address - Fax:212-473-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400311529251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care