Provider Demographics
NPI:1164307468
Name:OCEAN HEALTHCARE PCP-CAMDEN LLC
Entity type:Organization
Organization Name:OCEAN HEALTHCARE PCP-CAMDEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:AVROHOM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIEROVITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-994-4324
Mailing Address - Street 1:200 BLVD OF THE AMERICAS
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:732-994-4324
Mailing Address - Fax:
Practice Address - Street 1:147 JACKSON RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009-2608
Practice Address - Country:US
Practice Address - Phone:856-809-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility