Provider Demographics
NPI:1730893769
Name:OCEANS PRIME DIABETES AND ENDOCRINOLOGY LLC
Entity type:Organization
Organization Name:OCEANS PRIME DIABETES AND ENDOCRINOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKUNJKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-993-5040
Mailing Address - Street 1:405 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-1110
Mailing Address - Country:US
Mailing Address - Phone:732-993-5040
Mailing Address - Fax:732-587-5486
Practice Address - Street 1:405 PLAZA DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1110
Practice Address - Country:US
Practice Address - Phone:732-993-5040
Practice Address - Fax:732-587-5486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty