NPIMap

Organization Active NPI

Coastal Neurosciences PC

Doing business as Coastal Physicians & Surgeons PC

  • Neurological Surgery Physician
  • Somers Point, NJ
National Provider Identifier
1164578928
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
COASTAL NEUROSCIENCES PC
Doing business as
Coastal Physicians & Surgeons PC
Practice address
110 Harbor Lane
Somers Point, NJ 08244-2470
Phone
(609) 653-9110
Fax
(609) 653-4105
NPI assigned
Jan 26, 2007
Last updated
Jul 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Dr. Andrew S Glass, MDNPI 1679622500
Title
President
Phone
(609) 653-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

110 Harbor Lane
Somers Point, NJ 08244-2470

Mailing address

110 Harbor Lane
Somers Point, NJ 08244-2470
Phone (609) 653-9110

Other names 1

  • Coastal Physicians & Surgeons PC Doing business as

National Provider Directory

National Provider Directory

Locations

1140 Route 72 W
Ste 306A
Manahawkin, NJ 08050
Phone (609) 653-9110

110 Harbor Ln
Somers Point, NJ 08244
Phone (609) 653-9110

110 Harbor Ln
Ste A
Somers Point, NJ 08244
Phone (609) 653-8888

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1164578928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARBOR LANE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442470",
            "telephone_number": "609-653-9110",
            "fax_number": "609-653-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HARBOR LANE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442470",
            "telephone_number": "609-653-9110",
            "fax_number": "609-653-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROSCIENCES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-653-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Physicians & Surgeons PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.