Healthcare Provider Details

I. General information

NPI: 1427085430
Provider Name (Legal Business Name): OCEAN COUNTY MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 WEST BAY AVENUE SUITE 7
BARNEGAT NJ
08005-2165
US

IV. Provider business mailing address

849 WEST BAY AVENUE SUITE 7
BARNEGAT NJ
08005-2165
US

V. Phone/Fax

Practice location:
  • Phone: 609-660-0900
  • Fax: 609-660-1118
Mailing address:
  • Phone: 609-660-0900
  • Fax: 609-660-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMB61135
License Number StateNJ

VIII. Authorized Official

Name: DR. VINCENT C GUIDA
Title or Position: PRESIDENT
Credential: D.O.
Phone: 609-660-0900