Organization Active NPI

Jersey Shore Spine Center

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Forked River, NJ
National Provider Identifier
1619581105
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
Legal business name
JERSEY SHORE SPINE CENTER
Practice address
442 Lacey Rd Ste 7
Forked River, NJ 08731-2436
Phone
(609) 693-2020
Fax
(609) 488-4141
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Dr. Kenneth Zammito, DCNPI 1063691921
Title
Director
Phone
(732) 908-6226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X NU Primary

Addresses

Primary practice location

442 Lacey Rd Ste 7
Forked River, NJ 08731-2436

Mailing address

442 Lacey Rd Ste 7
Forked River, NJ 08731-2436
Phone (609) 693-2020

National Provider Directory

National Provider Directory

Locations

442 Lacey Rd
Ste 7
Forked River, NJ 08731
Phone (609) 693-2020

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1619581105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 LACEY RD STE 7",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312436",
            "telephone_number": "609-693-2020",
            "fax_number": "609-488-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 LACEY RD STE 7",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312436",
            "telephone_number": "609-693-2020",
            "fax_number": "609-488-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "ZAMMITO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-908-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.