OCEAN SURGICAL PAVILION, INC.
NPI 1205809795
Clinic/Center - Ambulatory Surgical in Oakhurst, NJ

NPI Status: Active since February 07, 2006

Contact Information

1907 HIGHWAY 35
SUITE 9
OAKHURST, NJ
ZIP 07755
Phone: (732) 517-8885
Fax: (732) 517-0304

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 31D1010230
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-09-2027

About OCEAN SURGICAL PAVILION, INC.

This page provides the complete NPI Profile along with additional information for Ocean Surgical Pavilion, Inc., a provider established in Oakhurst, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1205809795 assigned on February 2006. The practitioner's primary taxonomy code is 261QA1903X with license number NONE REQUIRED (NJ). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Ocean Surgical Pavilion, Inc.. The authorized official of this NPI record is Ms. Phillip Clendenin (Chief Manager Of Llc)

NPI
1205809795
Provider Legal Name
OAKHURST ENDOSCOPY ASC LLC
Other Organization Name
OCEAN SURGICAL PAVILION, INC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1907 HIGHWAY 35 SUITE 9 OAKHURST, NJ 07755
Location Phone
(732) 517-8885
Location Fax
(732) 517-0304
Mailing Address
1A BURTON HILLS BLVD ATTN: L&C NASHVILLE, TN 37215
Mailing Phone
(732) 517-8885
Mailing Fax
(732) 517-0304
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2006
Last Update Date
09-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
NONE REQUIRED
License State
NJ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. PHILLIP CLENDENIN

Authorized Official Title
CHIEF MANAGER OF LLC
Authorized Official Phone
(615) 665-1283

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3385809MEDICAID (05)NJ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D1010230
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 10, 2025
Certificate Expiration Date
March 09, 2027
Laboratory Director
MITCHELL SCHWARTZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ocean Surgical Pavilion, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205809795, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 0 + 1 + 8 + 7 + 1 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1205809795.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Specialist
1907 HIGHWAY 35, STE 1
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Internal Medicine (Geriatric Medicine)
1907 HIGHWAY 35, STE 2
OAKHURST, NJ 07755
Dentist (General Practice)
1907 HIGHWAY 35, SUITE 4
OAKHURST, NJ 07755
Dentist (General Practice)
1907 HIGHWAY 35, SUITE #4
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Nurse Practitioner (Adult Health)
1907 HIGHWAY 35, SUITE 1
OAKHURST, NJ 07755
Clinic/Center (Ambulatory Surgical)
1907 HIGHWAY 35, SUITE 9
OAKHURST, NJ 07755
Internal Medicine (Gastroenterology)
1907 HIGHWAY 35, SUITE1
OAKHURST, NJ 07755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205809795, enumerated as an "organization" on February 07, 2006.

The provider is located at 1907 HIGHWAY 35 SUITE 9 OAKHURST, NJ 07755 and the phone number is (732) 517-8885.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.