Active NPI
Shore Solutions Therapy Group
- Professional Counselor
- Brick, NJ
National Provider Identifier
1457988966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SHORE SOLUTIONS THERAPY GROUP
- Practice address
- 212 Jack Martin Blvd Ste D2
Brick, NJ 08724-7771 - Phone
- (201) 688-0823
- Fax
- (845) 544-2201
- NPI assigned
- Mar 25, 2020
- Last updated
- Mar 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth McGraw
- Title
- Administrator
- Phone
- (201) 688-0823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
212 Jack Martin Blvd Ste D2
Brick, NJ 08724-7771
Mailing address
26 N Main St Ste 4
Florida, NY 10921-1350
Phone (201) 688-0823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
212 Jack Martin Blvd
Ste D
Brick, NJ 08724
Phone (848) 232-3507
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Professional Counselor
- Brick, NJ
- NPI 1780219881
-
- Orthopaedic Surgery Physician
- Brick, NJ
- NPI 1053399493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1457988966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 N MAIN ST STE 4",
"city": "FLORIDA",
"state": "NY",
"postal_code": "109211350",
"telephone_number": "201-688-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 JACK MARTIN BLVD STE D2",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247771",
"telephone_number": "201-688-0823",
"fax_number": "845-544-2201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORE SOLUTIONS THERAPY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "MCGRAW",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-688-0823"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
- Shore Psychiatric Associates LLC
- Shore Psychological Healthcare LLC
- Shore Radiation Oncology, LLC.
- Shore Rehabilitation Institute
- Shore Renal Care
- Shorrock Gardens Care Center Inc.
- Shorrock Gardens Care Center, Inc. (The Haven at Shorrock Gardens)
- Christine Shu, MD
- Namra Shueib, MD
- Sandhya Shukla, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.