Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Ocean County Surgical Association, LLC

Organization Surgery Physician · NPI 1013016765

Southern Ocean County Surgical Association, LLC provides Surgery Physician services in Manahawkin, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

44 Nautilus Dr Ste 2B
Manahawkin, NJ 08050-2466
Phone: (609) 597-9477
Fax: (609) 489-0226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA07937200 (NJ)

Record details

NPI number1013016765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sergey Grachev — Proprietor · (609) 597-9477
NPI enumeratedSeptember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address44 Nautilus Dr, Suite 2b, Manahawkin, NJ 08050-2466

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