Central Pain MGMT of NJ

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01163000 Issued in NJ

Legal business name

CENTRAL PAIN MGMT OF NJ

Practice address

200 State Route 34 N
Colts Neck, NJ 07722-1234

Phone

(732) 332-9280

Fax

(732) 332-0444

NPI assigned

Jan 16, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Tina Shallonis

Title

Billing

Phone

(732) 332-9280

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528119278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STATE ROUTE 34 N",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221234",
            "telephone_number": "732-332-9280",
            "fax_number": "732-332-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE ROUTE 34 N",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221234",
            "telephone_number": "732-332-9280",
            "fax_number": "732-332-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PAIN MGMT OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHALLONIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "732-332-9280",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MB70770",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01163000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.