Organization Active NPI

Ocean Spine and Pain

  • Orthopaedic Surgery of the Spine Physician
  • Toms River, NJ
National Provider Identifier
1083472518
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
OCEAN SPINE AND PAIN
Practice address
368 Lakehurst Rd Ste 303
Toms River, NJ 08755-7339
Phone
(732) 930-0630
Fax
(732) 930-0930
NPI assigned
Mar 11, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Dr. Justin P Kubeck, MDNPI 1063613339
Title
Owner
Phone
(732) 930-0630

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
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

368 Lakehurst Rd Ste 303
Toms River, NJ 08755-7339

Mailing address

368 Lakehurst Rd Ste 303
Toms River, NJ 08755-7339
Phone (732) 930-0630

Other names 1

  • NA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240515001177 NJ Part B Supplier - Clinic/Group Practice 8224479795 Receives reassigned benefits from 2 practitioners
Practice locations: Toms River, NJ
O20250620002579 NJ DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Physician Assistant 8224479795 Practice locations: Toms River, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ocean Spine and Pain368 Lakehurst Rd, Toms River, NJ 08755-73397329300630107 Osteogenesis Stimulators|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since May 1, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1083472518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 LAKEHURST RD STE 303",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557339",
            "telephone_number": "732-930-0630",
            "fax_number": "732-930-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 LAKEHURST RD STE 303",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557339",
            "telephone_number": "732-930-0630",
            "fax_number": "732-930-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SPINE AND PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "KUBECK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-930-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.