Organization Active NPI

Atlantic Wellness Group

  • Physical Medicine & Rehabilitation Physician
  • Toms River, NJ
National Provider Identifier
1033420559
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ATLANTIC WELLNESS GROUP
Practice address
2119 Whitesville Rd
Toms River, NJ 08755-2600
Phone
(732) 370-7880
Fax
(732) 370-2040
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Norman W. Eastburn, D.C.NPI 1013056670
Title
President
Phone
(732) 370-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00587700 NJ
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

2119 Whitesville Rd
Toms River, NJ 08755-2600

Mailing address

2119 Whitesville Rd
Toms River, NJ 08755-2600
Phone (732) 370-7880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1033420559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 WHITESVILLE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552600",
            "telephone_number": "732-370-7880",
            "fax_number": "732-370-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 WHITESVILLE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552600",
            "telephone_number": "732-370-7880",
            "fax_number": "732-370-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "EASTBURN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-370-7880",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00587700",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.