Old Bridge Spine & Wellness Center,PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OLD BRIDGE SPINE & WELLNESS CENTER,PA

Practice address

300 Perrine Rd Ste 305
Old Bridge, NJ 08857-3628

Phone

(732) 320-6285

Fax

(732) 374-9864

NPI assigned

Apr 17, 2019

Organization subpart

Yes

Parent organization

OLD BRIDGE SPINE & WELLNESS CENTER, PAAs reported in NPPES

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

Authorized official

Name

Mrs. Yamilia C Nelson

Title

Billing Coordinator

Phone

(732) 320-6285

Specialties & licenses 1

Addresses

Part of

Old Bridge Spine Wellness Centerpa

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Old Bridge Spine & Wellness Center,PA

  • Rehabilitation Chiropractor
  • Matawan, NJ
  • NPI 1487885141
  NPPES parent name

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1811550775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 ROUTE 34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472132",
            "telephone_number": "732-320-6285",
            "fax_number": "732-374-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 305",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573628",
            "telephone_number": "732-320-6285",
            "fax_number": "732-374-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE SPINE & WELLNESS CENTER,PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLD BRIDGE SPINE  & WELLNESS CENTER, PA",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "YAMILIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "732-320-6285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Bridge Pediatric Dentistry LLC
• Old Bridge Physical Therapy Associates PC
• Old Bridge RX, LLC
• Old Bridge RX, LLC
• Old Bridge Sleep Center
• Old Bridge Township Emergency Medical Services Inc
• Amy Oliveira, PSYD, NSCP, LSSP
• Mary Jane B Olsen
• On Your Feet Podiatry PLLC
• Chukwudi Nwbunwanne Onwuakor, DC

• Durable Medical Equipment & Medical Supplies in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.