Shore Rehab & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHORE REHAB & WELLNESS, LLC

Practice address

883 Poole Ave
Suite 1
Hazlet, NJ 07730-2040

Phone

(732) 431-1126

NPI assigned

Nov 12, 2014

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Herzog, DCNPI 1235290552

Title

President

Phone

(732) 406-5030

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• James Herzog, DC

  • Chiropractor
  • Freehold, NJ
  • NPI 1235290552
  Authorized official Same address or phone
• Matthew Arian Farag, DPT

  • Physical Therapist
  • Somerville, NJ
  • NPI 1548773229
  NPD (past)
• Dov Iwaniski, DPT

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1164726394
  NPD (past)
• Jacqueline S. Roberman-Glyn, OTR/L

  • Occupational Therapist
  • East Brunswick, NJ
  • NPI 1215496856
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1306242706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 POOLE AVE",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 POOLE AVE",
            "address_2": "SUITE 1",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302040",
            "telephone_number": "732-431-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE REHAB & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-406-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonny Shah, PHARMD
• Destiny Sharack
• Shawn Michael Field MD PHD LLC
• Sunny Shen, PH.D.
• Shore Hearing Aid Center Inc
• Scott R Shrem, D.P.M.
• Mark Shteir, O.D.
• Vincent Signoriello
• Gianna Simon
• Ranjit Singh, PHARM.D.

• Chiropractor in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.