Forked River Medical Specialists, P.A.

LBN: Forked River Medical Specialists, P.A.
Forked River Medical Specialists, P.A. is an health care organization with primary practice located at 422 West Lacey Road , Forked River NJ 08731-2518. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Forked River Medical Specialists, P.A. can be contacted via phone (609) 693-1992, or through Ende, Theodore via phone (609) 693-1992.

Contact Information

Primary practice address
422 West Lacey Road Forked River NJ 08731-2518
Phone: (609) 693-1992
Fax: (609) 971-3199
Website:
Map and Directions
Authorized official contact:
Name: Ende, Theodore Doctor of Osteopathy (DO)
Phone: (609) 693-1992

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1548273865
LBN Legal business name Forked River Medical Specialists, P.A.
DBA Doing business as
Authorized official Ende, Theodore Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Nov 1st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548273865 NPPES
New Jersey MEDICAID 0659703
New Jersey Other 123723

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