Healthcare Provider Details

I. General information

NPI: 1487000717
Provider Name (Legal Business Name): OCEAN HEALTHCARE PCP-CAMDEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 JACKSON RD
BERLIN NJ
08009-2608
US

IV. Provider business mailing address

147 JACKSON RD
BERLIN NJ
08009-2608
US

V. Phone/Fax

Practice location:
  • Phone: 732-994-4324
  • Fax:
Mailing address:
  • Phone: 856-809-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: AVI MAIEROVITS
Title or Position: PARTNER
Credential:
Phone: 732-994-4324