Jersey Shore Sports Medicine

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

25MB08601300 Issued in NJ

Legal business name

JERSEY SHORE SPORTS MEDICINE

Practice address

10 W Connecticut Ave
Somers Point, NJ 08244-1975

Phone

(609) 904-2565

Fax

(609) 904-2566

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Brian Sokalsky, DO

Title

Owner

Phone

(609) 904-2565

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Diane C Casey, APN

  • Nurse Practitioner
  • Northfield, NJ
  • NPI 1548745623
  NPD (past)
• John Charles Kulin, DO

  • Emergency Medicine Physician
  • Northfield, NJ
  • NPI 1720024482
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1154732907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W CONNECTICUT AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441975",
            "telephone_number": "609-904-2565",
            "fax_number": "609-904-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W CONNECTICUT AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441975",
            "telephone_number": "609-904-2565",
            "fax_number": "609-904-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "SOKALSKY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-904-2565",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB08601300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith P Jankowski, D.O.
• Jared C Mannello LLC
• Jay M Harmelin
• Jersey Shore Gastroenterology
• Jersey Shore Gastroenterology Associates
• Jersey Shore Surgical Group PC
• Jersey Urology Group P. a.
• JJL&W Inc. T/a Komfort & Kare
• John T Bannon MD PA
• Joseph Accardi, LLC

• Sports Medicine (Family Medicine) Physician in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.