Coastal Sports Medicine LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

25MA06570700 Issued in NJ

Legal business name

COASTAL SPORTS MEDICINE LLC

Practice address

1594 Route 9
Unit 6
Toms River, NJ 08755-3280

Phone

(732) 349-8888

Fax

(732) 349-8880

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Lloyd Nelson, M.D.

Title

Owner

Phone

(347) 334-1733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1467780494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 9",
            "address_2": "UNIT 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553280",
            "telephone_number": "732-349-8888",
            "fax_number": "732-349-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 ROUTE 9",
            "address_2": "UNIT 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087553280",
            "telephone_number": "732-349-8888",
            "fax_number": "732-349-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-334-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA06570700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Margaret Mary Cocuzza, APN-C
• William D. Coffey, PSY.D.
• Allan Cohen, M.D.
• Robin Leigh Cohen, MSW

• Sports Medicine (Internal Medicine) Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Sports Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.