Water Street Physicians LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WATER STREET PHYSICIANS LLC

Practice address

300 W Water St
Toms River, NJ 08753-6533

Phone

(732) 349-4030

Fax

(732) 244-1866

NPI assigned

Jul 11, 2006

Last updated

Jun 30, 2010By 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

Dr. John A Pino, DO

Title

Physician Owner

Phone

(732) 349-4030

Specialties & licenses 1

Addresses

Other names 1

• Limited Liability Corporation Other name

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1659306769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536533",
            "telephone_number": "732-349-4030",
            "fax_number": "732-244-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536533",
            "telephone_number": "732-349-4030",
            "fax_number": "732-244-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER STREET PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "732-349-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limited Liability Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie Warren, CNA
• Christopher Washington, CRNA
• Corey Joseph Wasser, DO
• Eric Jonathan Wasserman, MD, FACEP, DABOM
• Water Street Physicians
• Nicole Watt
• Waves of Transformation Wellness Center Inc
• Bernard R Wayman, M.D.
• We Care Autism Services
• Daniel Weber, PT

• Family Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.