NPIMap

Organization Active NPI

Medical Offices of New Jersey Shore, LLC

  • Physical Medicine & Rehabilitation Physician
  • Wall Township, NJ
National Provider Identifier
1134526148
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR0018703 Issued in CO
Legal business name
MEDICAL OFFICES OF NEW JERSEY SHORE, LLC
Practice address
1959 Rte 34 Ste 202
Wall Township, NJ 07719-9790
Phone
(732) 943-1811
Fax
(732) 259-8060
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
John J Rush, MDNPI 1851337281
Title
Chairman & Ceo
Phone
(301) 928-1697

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
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X DR0018703 CO Primary

Addresses

Primary practice location

1959 Rte 34 Ste 202
Wall Township, NJ 07719-9790

Mailing address

1959 Rte 34 Ste 202
Wall Township, NJ 07719-9790
Phone (732) 943-1811

Other names 1

  • Arthritis Knee Pain Centers Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150129002069 NJ Part B Supplier - Clinic/Group Practice 8921322520 Receives reassigned benefits from 12 practitioners
Practice locations: Wall Township, NJ
O20150204000970 NJ DME Supplier - Physician - Physical and Rehabilitation 8921322520 Practice locations: Wall Township, NJ

National Provider Directory

National Provider Directory

Locations

1985 State Route 34
Ste A8D
Wall Township, NJ 07719

1959 State Route 34
Ste 202
Wall Township, NJ 07719
Phone (732) 655-6111

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1134526148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 RTE 34 STE 202",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199790",
            "telephone_number": "732-943-1811",
            "fax_number": "732-259-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 RTE 34 STE 202",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199790",
            "telephone_number": "732-943-1811",
            "fax_number": "732-259-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OFFICES OF NEW JERSEY SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "301-928-1697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR0018703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arthritis Knee Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.