Organization Active NPI

Jersey Shore Spine LLC

  • Clinic/Center
  • Toms River, NJ
National Provider Identifier
1053133710
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JERSEY SHORE SPINE LLC
Doing business as
Jersey Shore Spine LLC
Practice address
9 Hospital Dr Ste B4
Toms River, NJ 08755-6425
Phone
(732) 615-9420
Fax
(732) 615-9427
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Dr. Jack R. Dugo Jr., DCNPI 1184775777
Title
Owner
Phone
(732) 996-6643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9 Hospital Dr Ste B4
Toms River, NJ 08755-6425

Mailing address

20 Cherry Tree Farm Rd
Middletown, NJ 07748-2251
Phone (732) 615-9420

Other practice location 1

20 Cherry Tree Farm Rd
Middletown, NJ 07748-2251
Phone (732) 615-9420

Other names 1

  • Jersey Shore Spine LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1053133710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHERRY TREE FARM RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482251",
            "telephone_number": "732-615-9420",
            "fax_number": "732-615-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-615-9420",
            "fax_number": "732-615-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Cherry Tree Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077482251",
            "country_code": "US",
            "telephone_number": "732-615-9420",
            "fax_number": "732-615-9427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERSEY SHORE SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "DUGO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-996-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Spine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 24, 2024; 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.