NPIMap

Organization Active NPI

Monmouth Pain and Rehabiliation PC

  • Chiropractor
  • Shrewsbury, NJ
National Provider Identifier
1255874632
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC0051660 Issued in NJ
Legal business name
MONMOUTH PAIN AND REHABILIATION PC
Practice address
174 Patterson Ave
Shrewsbury, NJ 07702-4177
Phone
(732) 345-1377
Fax
(732) 936-9493
NPI assigned
Dec 2, 2016
Last updated
Dec 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Dr. Thomas Dandrea, DCNPI 1770512188
Title
Owner
Phone
(732) 345-1377

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
Chiropractor 111N00000X 38MC0051660 NJ Primary

Addresses

Primary practice location

174 Patterson Ave
Shrewsbury, NJ 07702-4177

Mailing address

174 Patterson Ave
Shrewsbury, NJ 07702-4177
Phone (732) 345-1377

National Provider Directory

National Provider Directory

Locations

2700 Bridge Ave
Ste 1
Point Pleasant Boro, NJ 08742
Phone (732) 475-7690

1774 E 2nd St
Scotch Plains, NJ 07076
Phone (908) 490-1800

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1255874632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 PATTERSON AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024177",
            "telephone_number": "732-345-1377",
            "fax_number": "732-936-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 PATTERSON AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024177",
            "telephone_number": "732-345-1377",
            "fax_number": "732-936-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONMOUTH PAIN AND REHABILIATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "DANDREA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-345-1377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC0051660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.