Organization Active NPI

Care Core PT,LLC

  • Point of Service
  • Red Bank, NJ
National Provider Identifier
1851767867
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
40QA1086600 Issued in NJ
Legal business name
CARE CORE PT,LLC
Practice address
10 Mechanic St
Suite 150
Red Bank, NJ 07701-1858
Phone
(732) 345-7241
Fax
(732) 345-7348
NPI assigned
Aug 13, 2015
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Shirley CabreraNPI 1437106135
Title
Owner
Phone
(732) 470-2627

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
Point of Service 305S00000X 40QA1086600 NJ Primary

Addresses

Primary practice location

10 Mechanic St
Suite 150
Red Bank, NJ 07701-1858

Mailing address

10 Mechanic St
Suite 150
Red Bank, NJ 07701-1858
Phone (732) 345-7241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150914000335 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739496449 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bank, NJ

National Provider Directory

National Provider Directory

Locations

10 Mechanic St
Ste 150
Red Bank, NJ 07701
Phone (732) 345-7241

Practitioners & affiliated clinicians

Practitioners 2

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1851767867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MECHANIC ST",
            "address_2": "SUITE 150",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011858",
            "telephone_number": "732-345-7241",
            "fax_number": "732-345-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MECHANIC ST",
            "address_2": "SUITE 150",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011858",
            "telephone_number": "732-345-7241",
            "fax_number": "732-345-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CORE PT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-470-2627"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "40QA1086600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.