Organization Active NPI

Kaiser Fitness and Medispa LLC

  • Sports Medicine (Family Medicine) Physician
  • Shrewsbury, NJ
National Provider Identifier
1326427329
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
KAISER FITNESS AND MEDISPA LLC
Practice address
555 Shrewsbury Ave
Suite F
Shrewsbury, NJ 07702-4165
Phone
(732) 758-8251
Fax
(732) 758-8250
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Brent Kaiser, D.C.NPI 1417937251
Title
Owner
Phone
(732) 758-8251

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
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

555 Shrewsbury Ave
Suite F
Shrewsbury, NJ 07702-4165

Mailing address

555 Shrewsbury Ave
Suite F
Shrewsbury, NJ 07702-4165
Phone (732) 758-8251

National Provider Directory

National Provider Directory

Locations

555 Shrewsbury Ave
Ste F
Shrewsbury, NJ 07702
Phone (732) 758-8251

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1326427329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SHREWSBURY AVE",
            "address_2": "SUITE F",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024165",
            "telephone_number": "732-758-8251",
            "fax_number": "732-758-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SHREWSBURY AVE",
            "address_2": "SUITE F",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024165",
            "telephone_number": "732-758-8251",
            "fax_number": "732-758-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FITNESS AND MEDISPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-758-8251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "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 May 28, 2015; 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.