Organization Active NPI

Center for Regenerative Therapy and Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
National Provider Identifier
1750914776
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Feb 18, 2020

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.