Jersey Shore Institute of Health and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00398600 Issued in NJ

Legal business name

JERSEY SHORE INSTITUTE OF HEALTH AND WELLNESS

Practice address

2051 Hwy 35
Wall Township, NJ 07719-3539

Phone

(732) 722-7500

Fax

(732) 722-7497

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Marisa Anzevino

Title

Office Manager

Phone

(732) 722-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• James Angelo Louro, D.C

  • Chiropractor
  • Manasquan, NJ
  • NPI 1164752630
  Medicare reassignment NPD
• Jack Louro, CHIROPRACTIC

  • Chiropractor
  • Manasquan, NJ
  • NPI 1477135689
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1285964676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 HWY 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193539",
            "telephone_number": "732-722-7500",
            "fax_number": "732-722-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HWY 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193539",
            "telephone_number": "732-722-7500",
            "fax_number": "732-722-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE INSTITUTE OF HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "ANZEVINO",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-722-7500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00398600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ippolito, PA-C
• Christina Jamieson, APN
• Tsaiwen Jau, M.A., CCC-SLP
• Madeline Jean-Mary, LSW
• Jersey Coast Physical Therapy Inc.
• Jersey Shore Monmouth County Associates
• Jersey Shore Women'S Health, LLC
• Gabriella G Jinks, MS, OTR/L
• Jennifer Johansen, APN
• Joseph L. Hvidding

• Chiropractor in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.