SOUTHERN OCEAN PRIMARY CARE ASSC LLC
NPI 1326187444
Family Medicine in Manahawkin, NJ

Active since February 05, 2007CLIA 31D0962171 · Waiver
53 NAUTILUS DRIVE, SUITE B, MANAHAWKIN, NJ 08050(609) 978-6266(609) 978-5006 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Ocean Primary Care Assc Llc NPPES

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

SOUTHERN OCEAN PRIMARY CARE ASSC LLC (NPI 1326187444) is a healthcare organization registered as a family medicine in Manahawkin, New Jersey and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Susan Bettinger, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1326187444
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC
Location Address53 NAUTILUS DRIVE, SUITE BManahawkin, NJ 08050
Mailing Address53 Nautilus Drive, Suite BManahawkin, NJ 08050 · (609) 978-6266 · Fax (609) 978-5006
Fax(609) 978-5006
Organization SubpartNo
Authorized OfficialSusan BettingerBilling Supervisor · (609) 978-6266
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 1, 2013
✔ NPI 1326187444 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.
53 NAUTILUS DRIVE, Manahawkin, NJ 08050

Other Names 1

Doing Business AsSouthern Ocean Primary Care Assc Llc

Other Identifiers 1

Medicare PIN144238

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 Primary Care Assc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Ocean Primary Care Assc LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1851430961
53 NAUTILUS DRIVE SUITE B
Manahawkin, NJ 08050
(609) 978-6266
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255924858
53 NAUTILUS DR STE 102
Manahawkin, NJ 08050
(609) 978-6266
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1710914080
382 W 9TH ST SUITE 2
Ship Bottom, NJ 08008
(609) 361-7100
✔ PECOS✔ Accepts Medicare7.1 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 31D0962171

Southern Ocean Primary Care Associates · Manahawkin, NJ
Active · expires Jun 23, 2027
CLIA Number31D0962171
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorWalter P. Miller
Laboratory Phone(609) 978-6266
Laboratory LocationSouthern Ocean Primary Care Associates53 Nautilus Drive, Manahawkin, NJ 08050
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 Southern Ocean Primary Care Associates LLC's NPI number?

The NPI number for Southern Ocean Primary Care Associates LLC is 1326187444. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Southern Ocean Primary Care Assc LLC.

Where is Southern Ocean Primary Care Associates LLC located?

Southern Ocean Primary Care Associates LLC is located at 53 Nautilus Drive Suite B, Manahawkin, NJ 08050. The listed phone number is (609) 978-6266.

What is Southern Ocean Primary Care Associates LLC's specialty?

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

Is Southern Ocean Primary Care Associates LLC enrolled in Medicare?

Yes. Southern Ocean Primary Care Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Ocean Primary Care Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Ocean Primary Care Associates LLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Ocean Primary Care Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0962171) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Ocean Primary Care Associates LLC was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.