NPIMap

Organization Active NPI

Seacoast Spine & Sports Medicine LLC

  • Interventional Pain Medicine Physician
  • Eatontown, NJ
National Provider Identifier
1770136707
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SEACOAST SPINE & SPORTS MEDICINE LLC
Practice address
40 Corbett Way Ste a
Eatontown, NJ 07724-2263
Phone
(732) 899-0868
NPI assigned
Jul 18, 2019
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Anthony Lombardi Jr., MDNPI 1932259462
Title
Owner
Phone
(973) 865-2224

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
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

40 Corbett Way Ste a
Eatontown, NJ 07724-2263

Mailing address

40 Corbett Way Ste a
Eatontown, NJ 07724-2263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmuscio@seacoastspine.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200714001254 NJ Part B Supplier - Clinic/Group Practice 0042633711 Receives reassigned benefits from 8 practitioners
Practice locations: Eatontown, NJ
O20210607002880 NJ DME Supplier - Physician - General Practice 0042633711 Practice locations: Eatontown, NJ

National Provider Directory

National Provider Directory

Locations

40 Corbett Way
Eatontown, NJ 07724
Phone (732) 955-0655

40 Corbett Way
#A
Eatontown, NJ 07724
Phone (732) 899-0868

Practitioners & affiliated clinicians

Practitioners 12

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": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1770136707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CORBETT WAY STE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CORBETT WAY STE A",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242263",
            "telephone_number": "732-899-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST SPINE & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "LOMBARDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-865-2224",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmuscio@seacoastspine.com",
            "affiliation": "N",
            "address_1": "40 Corbett Way",
            "city": "Eatontown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077242263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.