Spine and Sports Medicine of Manchester

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MB09673700 Issued in NJ

Legal business name

SPINE AND SPORTS MEDICINE OF MANCHESTER

Practice address

60 Lacey Rd
Whiting, NJ 08759-2921

Phone

(732) 408-4492

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Legowski

Title

Operations

Phone

(609) 703-5097

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Andrew Pernal II, D.C

  • Chiropractor
  • Jackson, NJ
  • NPI 1932500212
  NPD

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1871043182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592921",
            "telephone_number": "732-408-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS MEDICINE OF MANCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "LEGOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "609-703-5097"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MB09673700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinita Sodhi, MD
• Margaret Sorge
• Soul II Soul Behavioral Health and Medicine LLC
• Christopher Paul Speck, P.T.
• Spine & Sports Medicine of Manchester LLC
• Springpoint at Crestwood, Inc.
• Richard Stuttard Jr.
• Deborah A Swierz, M.A.
• Lorraine Tedesco, APN
• The Arc Ocean County Chapter, Inc.

• Non-Pharmacy Dispensing Site in Whiting, NJ
• Providers in Whiting, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.