Organization Active NPI

Colts Neck Spine & Joint Care LLC

  • Physical Therapist
  • Middletown, NJ
National Provider Identifier
1710282132
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
123123123123123 Issued in NJ
Legal business name
COLTS NECK SPINE & JOINT CARE LLC
Practice address
1270 Highway 35
Middletown, NJ 07748-2014
Phone
(732) 615-9420
Fax
(732) 615-9427
NPI assigned
Jan 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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

Authorized official

Name
Dr. Jack R Dugo Sr., DC
Title
President
Phone
(732) 615-9420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 123123123123123 NJ Primary

Addresses

Primary practice location

1270 Highway 35
Middletown, NJ 07748-2014

Mailing address

PO Box 51
Ledgewood, NJ 07852-0051
Phone (973) 361-2722

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295049600000",
    "number": "1710282132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078520051",
            "telephone_number": "973-361-2722",
            "fax_number": "973-361-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 HIGHWAY 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482014",
            "telephone_number": "732-615-9420",
            "fax_number": "732-615-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTS NECK SPINE & JOINT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A",
        "authorized_official_last_name": "DUGO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-615-9420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "123123123123123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.