Healthcare Provider Details

I. General information

NPI: 1912671454
Provider Name (Legal Business Name): OCEAN VIEW PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35247 ATLANTIC AVE UNIT 1
MILLVILLE DE
19967-6912
US

IV. Provider business mailing address

35247 ATLANTIC AVE UNIT 1
MILLVILLE DE
19967-6912
US

V. Phone/Fax

Practice location:
  • Phone: 848-702-1688
  • Fax:
Mailing address:
  • Phone: 302-829-1015
  • Fax: 302-829-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY SPARTA
Title or Position: OWNER
Credential: PA-C
Phone: 848-702-1688