Provider Demographics
NPI:1861958811
Name:OCEAN HEALTH INITIATIVES, INC
Entity type:Organization
Organization Name:OCEAN HEALTH INITIATIVES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, CEO
Authorized Official - Phone:732-363-6655
Mailing Address - Street 1:3600 ROUTE 66
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-363-6655
Mailing Address - Fax:732-455-5798
Practice Address - Street 1:20 JACKSON STREET
Practice Address - Street 2:SUITE E
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-363-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy