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

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: October 25, 2026.

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
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Island Medical Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Island Medical Professional Association, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1033761176
1812 LONG BEACH BLVD
Ship Bottom, NJ 08008
(609) 494-2323
✔ PECOS✔ Accepts Medicare7.3 mi
Family Practice
NPI 1821105198
1812 LONG BEACH BLVD
Ship Bottom, NJ 08008
(609) 494-2323
✔ PECOS✔ Accepts Medicare7.3 mi
Family Practice
NPI 1952416588
1812 LONG BEACH BLVD
Ship Bottom, NJ 08008
(609) 494-2323
✔ PECOS✔ Accepts Medicare7.3 mi
Family Practice
NPI 1992812275
1812 LONG BEACH BLVD
Ship Bottom, NJ 08008
(609) 494-2323
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1831592583
970 HOOPER AVE # 2
Toms River, NJ 08753
(732) 228-4146
✔ PECOS✔ Accepts Medicare21 mi

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

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.

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 Island Medical Professional Association's NPI number?

The NPI number for Island Medical Professional Association is 1265549539. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Island Medical Professional Association located?

Island Medical Professional Association is located at 1812 Long Beach Blvd, Ship Bottom, NJ 08008. The listed phone number is (609) 494-2323.

What is Island Medical Professional Association's specialty?

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

Is Island Medical Professional Association enrolled in Medicare?

Yes. Island Medical Professional Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Medical Professional Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Island Medical Professional Association. 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. The largest specialties are Family Practice (3) and Nurse Practitioner (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Island Medical Professional Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0117316) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Island Medical Professional Association accept?

Health plans from Oscar Health list Island Medical Professional Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Island Medical Professional Association was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.