Tidal Emergency Physicians LLC
Tidal Emergency Physicians LLC is a healthcare organization registered as Emergency Medicine Physician in Neptune, NJ, holding Type 2 (organization) NPI 1649222407 since 2006. The authorized official on file is Russell Harris,, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649222407 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tidal Emergency Physicians LLC |
| Practice address | 1945 CORLIES AVE, Neptune, NJ, 07753 |
| Phone | 7327764203 |
| Enumeration date | 2006-05-17 |
| Last updated in NPPES | 2013-12-24 |
Authorized official
| Name | Russell Harris, |
|---|---|
| Title | President |
| Phone | 4694012386 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7660103 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Tidal Emergency Physicians LLC NPI: 1649222407 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 1945 CORLIES AVE, Neptune, NJ, 07753
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316927734 | Steven Kairys | Individual | Pediatrics Physician | Neptune, NJ |
| 1881665610 | Laverne Muscio | Individual | Pediatric Nurse Practitioner | Neptune, NJ |
| 1407827496 | Matthew Petrides | Individual | Surgical Physician Assistant | Neptune City, NJ |
| 1508816281 | Antonio Marra | Individual | Emergency Medicine Physician | Neptune, NJ |
| 1962459313 | Evelyn Wells | Individual | Emergency Medicine Physician | Neptune, NJ |
| 1760418966 | Gregg Mojares | Individual | Emergency Medicine Physician | Neptune, NJ |
| 1205023132 | Meridian Health Systems | Organization | Psychiatric Hospital | Neptune, NJ |
| 1114187465 | Mary Sedarous | Individual | Neuromusculoskeletal Medicine & OMM Physician | Neptune, NJ |
Verify this record
Cross-check NPI 1649222407 against the authoritative CMS record: view Tidal Emergency Physicians LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Tidal Emergency Physicians LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-12-24.