SOUTHERN OCEAN COUNTY SURGICAL ASSOCIATION, LLC
NPI 1013016765
Surgery in Manahawkin, NJ

Q: What is Southern Ocean County Surgical Association, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 21, 2006

44 NAUTILUS DR, SUITE 2B, MANAHAWKIN, NJ 08050(609) 597-9477(609) 489-0226 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Southern Ocean County Surgical Association, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OCEAN COUNTY SURGICAL ASSOCIATION, LLC (NPI 1013016765) is a healthcare organization registered as a surgery in Manahawkin, New Jersey and active in the NPI registry since September 2006. The organization lists Sergey Grachev, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1013016765

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSOUTHERN OCEAN COUNTY SURGICAL ASSOCIATION, LLC

Location Address44 NAUTILUS DR, SUITE 2BManahawkin, NJ 08050-2466

Mailing Address44 Nautilus Dr, Suite 2bManahawkin, NJ 08050-2466 · (609) 597-9477 · Fax (609) 489-0226

Phone(609) 597-9477

Fax(609) 489-0226

Organization SubpartNo

Authorized OfficialSergey GrachevProprietor · (609) 597-9477

Enumeration DateSeptember 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1013016765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NJ · 25MA07937200

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

44 NAUTILUS DR, Manahawkin, NJ 08050

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Ocean County Surgical Association, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Ocean County Surgical Association, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sergey Grachev, M.D.

General Surgery

NPI 1487629614

115 E BAY AVE
Manahawkin, NJ 08050

(609) 597-9477

✔ PECOS✔ Accepts Medicare2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Ocean County Surgical Association, LLC's NPI number?

The NPI number for Southern Ocean County Surgical Association, LLC is 1013016765. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Southern Ocean County Surgical Association, LLC located?

Southern Ocean County Surgical Association, LLC is located at 44 Nautilus Dr Suite 2B, Manahawkin, NJ 08050. The listed phone number is (609) 597-9477.

What is Southern Ocean County Surgical Association, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Southern Ocean County Surgical Association, LLC enrolled in Medicare?

Yes. Southern Ocean County Surgical Association, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Ocean County Surgical Association, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Southern Ocean County Surgical Association, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Ocean County Surgical Association, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.