Provider Demographics
NPI:1427085430
Name:OCEAN COUNTY MEDICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:OCEAN COUNTY MEDICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:C
Authorized Official - Last Name:GUIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-660-0900
Mailing Address - Street 1:849 WEST BAY AVENUE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-2165
Mailing Address - Country:US
Mailing Address - Phone:609-660-0900
Mailing Address - Fax:609-660-1118
Practice Address - Street 1:849 WEST BAY AVENUE
Practice Address - Street 2:SUITE 7
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-2165
Practice Address - Country:US
Practice Address - Phone:609-660-0900
Practice Address - Fax:609-660-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB61135207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8340501Medicaid
NJG32798Medicare UPIN
NJ8340501Medicaid