Healthcare Provider Details

I. General information

NPI: 1952289696
Provider Name (Legal Business Name): OCEANUS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHERRY ST
NANTUCKET MA
02554-4011
US

IV. Provider business mailing address

1 CHERRY ST
NANTUCKET MA
02554-4011
US

V. Phone/Fax

Practice location:
  • Phone: 508-776-7671
  • Fax: 508-281-9446
Mailing address:
  • Phone: 508-776-7671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND ROCCO MONTO
Title or Position: PRESIDENT
Credential: MD
Phone: 508-776-7671