ISLAND MEDICAL PROFESSIONAL ASSOCIATION
NPI 1265549539
Family Medicine in Ship Bottom, NJ

Q: What is Island Medical Professional Association's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 24, 2006CLIA 31D0117316 · Waiver

1812 LONG BEACH BLVD, SHIP BOTTOM, NJ 08008(609) 494-2323(609) 494-4141 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Island Medical Professional Association NPPES

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

ISLAND MEDICAL PROFESSIONAL ASSOCIATION (NPI 1265549539) is a healthcare organization registered as a family medicine in Ship Bottom, New Jersey and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists James Noland Suddeth, President, as its authorized official.

NPPES Registry Identity

NPI1265549539

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameISLAND MEDICAL PROFESSIONAL ASSOCIATION

Location Address1812 LONG BEACH BLVDShip Bottom, NJ 08008-4443

Mailing Address1812 Long Beach BlvdShip Bottom, NJ 08008-4443 · (609) 494-2323 · Fax (609) 494-4141

Phone(609) 494-2323

Fax(609) 494-4141

Organization SubpartNo

Authorized OfficialJames Noland SuddethPresident · (609) 494-2323

Enumeration DateAugust 24, 2006

Last NPPES UpdateJuly 5, 2011

✔ NPI 1265549539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1812 LONG BEACH BLVD, Ship Bottom, NJ 08008

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Other Identifiers 1

Medicaid6175601NJ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0117316

Island Medical Professional Association · Ship Bottom, NJ

Active · expires Mar 19, 2027

CLIA Number31D0117316

Laboratory TypePhysician Office

Certificate Effective DateMarch 20, 2025

Certificate Expiration DateMarch 19, 2027

Laboratory DirectorJames N. Suddeth

Laboratory Phone(609) 494-2323

Laboratory LocationIsland Medical Professional Association1812 Long Beach Blvd, Ship Bottom, NJ 08008

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA LEVINE FNP

Nurse Practitioner (Family)