Jersey Spine and Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00732000 Issued in NJ

Legal business name

JERSEY SPINE AND WELLNESS, LLC

Practice address

2446 Church Rd
Suite 2E
Toms River, NJ 08753-8182

Phone

(732) 255-1910

Fax

(732) 255-1930

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Robert Khamish, D.C.

Title

Owner

Phone

(732) 255-1910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600473600000",
    "number": "1356874168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "BLDG 12 STE B",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "732-255-1910",
            "fax_number": "732-255-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 CHURCH RD",
            "address_2": "SUITE 2E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538182",
            "telephone_number": "732-255-1910",
            "fax_number": "732-255-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SPINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A",
        "authorized_official_last_name": "KHAMISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-255-1910",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00732000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Shore Myofascial Release Center
• Jersey Shore Nutrition
• Jersey Shore Podiatry ,LLC
• Jersey Shore Spine LLC
• Jersey Shore Surgery and Vein Center, LLC
• Jeyeye Inc.
• Alyssa Nicole Jimenez, LPC, LCADC
• Jjireh LLC
• JLR Counseling, LLC
• David Jochheim, MD

• Chiropractor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.