Healthcare Provider Details

I. General information

NPI: 1083019541
Provider Name (Legal Business Name): SHORE HOSPITALISTS ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E NEW YORK AVE
SOMERS POINT NJ
08244-2340
US

IV. Provider business mailing address

1 E NEW YORK AVE
SOMERS POINT NJ
08244-2340
US

V. Phone/Fax

Practice location:
  • Phone: 609-653-3500
  • Fax: 609-926-4311
Mailing address:
  • Phone: 609-653-3500
  • Fax: 609-926-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ULICES PEREZ FELIZ
Title or Position: PRESIDENT
Credential: MD
Phone: 609-653-3500