Healthcare Provider Details

I. General information

NPI: 1235142753
Provider Name (Legal Business Name): OCEAN COUNTY BOARD OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date: 05/05/2021
Reactivation Date: 06/22/2021

III. Provider practice location address

175 SUNSET AVE
TOMS RIVER NJ
08755-2191
US

IV. Provider business mailing address

175 SUNSET AVENUE PO BOX 2191
TOMS RIVER NJ
08754-2191
US

V. Phone/Fax

Practice location:
  • Phone: 732-341-9700
  • Fax: 732-831-6495
Mailing address:
  • Phone: 732-341-9700
  • Fax: 732-831-6495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL E. REGENYE
Title or Position: PUBLIC HEALTH COORDINATOR/HEALTH OF
Credential: MHA
Phone: 732-341-9700