Shore Spine and Physical Rehabilitation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MB08376900 Issued in NJ

Legal business name

SHORE SPINE AND PHYSICAL REHABILITATION

Practice address

1104 Arnold Ave
Point Pleasant Boro, NJ 08742-2311

Phone

(732) 714-0070

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Legowski

Title

Operations

Phone

(609) 703-5097

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1487100921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422311",
            "telephone_number": "732-714-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE SPINE AND PHYSICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "LEGOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "609-703-5097"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MB08376900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Marie Sealy
• Seeds of Hope and Healing LLC
• Daniel Shand
• Laura Shields, MS OTR/L
• Shore Phyx Physical Therapy & Sports Rehabilitation
• Shorerestore Physical Therapy & Wellness
• Michelle Claudette Sierra-Pappas, LCSW
• Christy Silk, DC
• John Simon, MSN, PMHNP-BC
• Matthew A Simonelli

• Non-Pharmacy Dispensing Site in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.