Coastal Neurosciences PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

COASTAL NEUROSCIENCES PC

Practice address

110 Harbor Lane
Somers Point, NJ 08244-2470

Phone

(609) 653-9110

Fax

(609) 653-4105

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew S Glass, MD

Title

President

Phone

(609) 653-9110

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Coastal Physicians & Surgeons PC Doing business as

Locations

Practitioners 6

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

• Craig Steven Glick, MD

  • Body Imaging Physician
  • Pomona, NJ
  • NPI 1356454540
  NPD (past)
• Virginia Graziani, MD

  • Physical Medicine & Rehabilitation Physician
  • Linwood, NJ
  • NPI 1467557629
  NPD (past)
• James G Lowe, MD

  • Neurological Surgery Physician
  • Linwood, NJ
  • NPI 1528163607

  Neurological Surgery

  NPD (past)
• Richard Roycroft, P.T.

  • Physical Therapist
  • Somers Point, NJ
  • NPI 1427190685
  NPD (past)
• Gregory Michael Braccia, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Pottstown, PA
  • NPI 1700907474
  NPD (past)
• Scott D. Callaghan, D.O.

  • Neurology Physician
  • Murrells Inlet, SC
  • NPI 1497747018

  Neurology

  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7771908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Physicians & Surgeons PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andre Ciceron, MD
• Asuncion V Ciceron, MD
• Ana M Cilursu, MD
• Kimberly Cipkins, RD
• Elizabeth Anne Clark, PT, DPT
• Communtity Quest Cornell
• Andrew Michael Conforto, PHARMD
• Nicole Conover, APN
• Michelle Conway-Diaz, D.M.D.
• Desiree M Coogan, MSW, LSW

• All providers in Somers Point, NJ
• Neurological Surgery Physician in New Jersey

• 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.