Holmdel Sports and Spine

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

HOLMDEL SPORTS AND SPINE

Practice address

723 N Beers St Ste 1F
Holmdel, NJ 07733-1512

Phone

(732) 888-0809

NPI assigned

Mar 28, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Jow, MDNPI 1659877405

Title

Owner

Phone

(732) 217-3890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Jow, MD

  • Physical Medicine & Rehabilitation Physician
  • Holmdel, NJ
  • NPI 1659877405

  Single Specialty

  Medicare reassignment NPD Authorized official
• William W Jow, MD

  • Urology Physician
  • Holmdel, NJ
  • NPI 1164424057
  NPD (past)
• Michael J Marchese, M.D.

  • Radiation Oncology Physician
  • Lakewood, NJ
  • NPI 1790768125
  NPD (past)
• Haig Minassian, MD

  • Cytopathology Physician
  • Red Bank, NJ
  • NPI 1114986940
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1003667155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST STE 1F",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST STE 1F",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331512",
            "telephone_number": "732-888-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL SPORTS AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "JOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-217-3890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holmdel Orthodontics LLC
• Holmdel Pediatrics, LLC
• Holmdel Pharmacy & Deli LLC
• Holmdel Physical Therapy and Sports Medicine LLC
• Holmdel Pulmonary Medicine, LLC
• Holmdel Township Public Schools
• Elisabeth Holtzer, RD
• Matthew Holtzer, P.T.
• Wei Hong, MD
• Elizabeth M Howard, LPC, LCADC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.