Tave Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TAVE CLINIC LLC

Practice address

101 Prosper Way Ste H
Brick, NJ 08723-3543

Phone

(732) 202-7846

Fax

(732) 475-7182

NPI assigned

Nov 12, 2018

Organization subpart

No

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

Authorized official

Name

Brett Tave, D.C.NPI 1568930287

Title

Owner

Phone

(732) 202-7846

Specialties & licenses 1

Addresses

Other names 1

• Shore Life Chiropractic & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Brett Tave, D.C.

  • Rehabilitation Chiropractor
  • Brick, NJ
  • NPI 1568930287

  NJ, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1104394832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPER WAY STE H",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087233543",
            "telephone_number": "732-202-7846",
            "fax_number": "732-475-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPER WAY STE H",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087233543",
            "telephone_number": "732-202-7846",
            "fax_number": "732-475-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "TAVE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-202-7846",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Life Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shore Life Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie S Tallard, CBIS, CRT
• Allyson M Tamowski, OTR/L
• Eric Tan, FNP
• Victoria Helen Tancsak, L.P.C
• Matthew Tangorra, D.O.
• Brett Tave, D.C.
• Ted L. Freeman,DO, PC
• Suzanne Tedeschi
• Valerie M Tedeschi, LCSW
• Cydney J. Terreri, PHD

• All providers in Brick, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.