Healthcare Provider Details

I. General information

NPI: 1962324335
Provider Name (Legal Business Name): OCEAN ALLERGY EDUCATION AND RESEARCH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1673 ROUTE 88 W
BRICK NJ
08724-3071
US

IV. Provider business mailing address

1673 ROUTE 88 W
BRICK NJ
08724-3071
US

V. Phone/Fax

Practice location:
  • Phone: 732-458-2000
  • Fax:
Mailing address:
  • Phone: 732-458-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHIRAG PATEL
Title or Position: PRINCIPAL INVESTIGATOR
Credential: MD
Phone: 732-458-2000