Shore Health Wellness Center

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

SHORE HEALTH WELLNESS CENTER

Practice address

137 Atlantic City Blvd
Beachwood, NJ 08722-2935

Phone

(732) 693-2097

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Carmen PerezNPI 1528070695

Title

Nurse Practitioner

Phone

(732) 693-2097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Carmen Perez, APN

  • Internal Medicine Physician
  • Beachwood, NJ
  • NPI 1528070695
  Medicare reassignment Authorized official
• Ranvir Ahlawat, M.D

  • Internal Medicine Physician
  • Beachwood, NJ
  • NPI 1447204615
  NPD
• Steven J Pollack

  • Chiropractor
  • Beachwood, NJ
  • NPI 1497729065
  NPD (past)

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1124879598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ATLANTIC CITY BLVD STE 1",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222935",
            "telephone_number": "732-693-2097",
            "fax_number": "732-244-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ATLANTIC CITY BLVD",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222935",
            "telephone_number": "732-693-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE HEALTH WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "732-693-2097"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemmy Ritter, DC
• RR Health Services of NJ PA
• Julia R Sahlberg, BA, CADC
• Christopher J Sayers, D.C.
• David Seegert, LCSW
• Shore Regenerative Medicine LLC
• Tanisha Sosa
• Patrick Starr, RN, CNOR, RNFA
• Steven J Pollack DC PA
• Samantha Sullivan, LCSW

• Integrative Medicine Physician in Beachwood, NJ
• Providers in Beachwood, NJ by specialty
• Integrative Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.