Healthcare Provider Details

I. General information

NPI: 1386246411
Provider Name (Legal Business Name): OCEAN HEALTH INITIATIVES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 STOCKTON DR
TOMS RIVER NJ
08755-6433
US

IV. Provider business mailing address

3600 ROUTE 66 STE 400
NEPTUNE NJ
07753-2645
US

V. Phone/Fax

Practice location:
  • Phone: 732-363-6655
  • Fax:
Mailing address:
  • Phone: 732-363-6655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: THERESA BERGER
Title or Position: CEO
Credential: MD
Phone: 732-363-6655