Active NPI
Center for Regenerative Therapy and Pain Management
- Pain Medicine (Anesthesiology) Physician
- Brick, NJ
National Provider Identifier
1750914776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- CENTER FOR REGENERATIVE THERAPY AND PAIN MANAGEMENT
- Practice address
- 459 Jack Martin Blvd Ste 4
Brick, NJ 08724-7724 - Phone
- (732) 747-7077
- NPI assigned
- Feb 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karyn Karecky
- Title
- Office Manager
- Phone
- (732) 747-7077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
459 Jack Martin Blvd Ste 4
Brick, NJ 08724-7724
Mailing address
459 Jack Martin Blvd Ste 4
Brick, NJ 08724-7724
Phone (732) 747-7077
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1750914776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 JACK MARTIN BLVD STE 4",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247724",
"telephone_number": "732-747-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 JACK MARTIN BLVD STE 4",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247724",
"telephone_number": "732-747-7077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR REGENERATIVE THERAPY AND PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "KARECKY",
"authorized_official_first_name": "KARYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "732-747-7077"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.