Jersey Shore Rejuvination Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA06352100 Issued in NJ

Legal business name

JERSEY SHORE REJUVINATION CENTER, LLC

Practice address

74 Brick Blvd Ste 124
Brick, NJ 08723-7984

Phone

(732) 262-2809

Fax

(732) 262-0400

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gabriele P Jasper, MD

Title

Managing Member

Phone

(732) 262-2809

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1114300225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD STE 124",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-262-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD STE 124",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-262-2809",
            "fax_number": "732-262-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE REJUVINATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "GABRIELE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-262-2809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA06352100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Coast Family Medicine LLC
• Jersey Coast Nephrology and Hypertension Associates LLC
• Jersey Coast Vascular Associates PA
• Jersey Coast Vein and Laser Center LLC
• Jersey Shore Eyecare
• Jersey Shore Speech Therapy LLC
• Jersey Shore Therapies
• Samir C. Jethwa, DO
• JF Healthcare LLC
• Jody Rodman MSW LCSW LLC

• General Practice Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.