Shore Regenerative Medicine LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SHORE REGENERATIVE MEDICINE LLC

Practice address

137 Atlantic City Blvd
Beachwood, NJ 08722-2935

Phone

(732) 244-0222

Fax

(732) 244-0450

NPI assigned

Dec 6, 2021

Last updated

Dec 6, 2021By 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

Carrie Lavin

Title

Office Manager

Phone

(732) 244-0222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1609534783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ATLANTIC CITY BLVD",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222935",
            "telephone_number": "732-244-0222",
            "fax_number": "732-244-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ATLANTIC CITY BLVD",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222935",
            "telephone_number": "732-244-0222",
            "fax_number": "732-244-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-244-0222"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RR Health Services of NJ PA
• Julia R Sahlberg, BA, CADC
• Christopher J Sayers, D.C.
• David Seegert, LCSW
• Shore Health Wellness Center
• Tanisha Sosa
• Patrick Starr, RN, CNOR, RNFA
• Steven J Pollack DC PA (DBA Pollack Chiropractic Center)
• Samantha Sullivan, LCSW
• Assad Z Tanios, DDS

• Nurse Practitioner in Beachwood, NJ
• Providers in Beachwood, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.