NPIMap

Organization Active NPI

Beachwood Low Back Rehab Center

  • General Practice Physician
  • Beachwood, NJ
National Provider Identifier
1881667277
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MA03808800 Issued in NJ
Legal business name
BEACHWOOD LOW BACK REHAB CENTER
Practice address
137 Atlantic City Blvd
Suite 2
Beachwood, NJ 08722-2935
Phone
(732) 244-8666
Fax
(732) 244-0450
NPI assigned
Feb 8, 2006
Reactivated
Apr 16, 2009
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Steven J Pollack, DCNPI 1497729065
Title
Director
Phone
(732) 244-8666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 25MA03808800 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00497000 NJ

Addresses

Primary practice location

137 Atlantic City Blvd
Suite 2
Beachwood, NJ 08722-2935

Mailing address

137 Atlantic City Blvd
Suite 2
Beachwood, NJ 08722-2935
Phone (732) 244-8666

National Provider Directory

National Provider Directory

Locations

137 Atlantic City Blvd
Ste 2
Beachwood, NJ 08722
Phone (732) 244-8666

Practitioners & affiliated clinicians

Practitioners 4

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": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1881667277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ATLANTIC CITY BLVD",
            "address_2": "SUITE 2",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222935",
            "telephone_number": "732-244-8666",
            "fax_number": "732-244-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ATLANTIC CITY BLVD",
            "address_2": "SUITE 2",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222935",
            "telephone_number": "732-244-8666",
            "fax_number": "732-244-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHWOOD LOW BACK REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-04-16",
        "deactivation_date": "2009-04-14",
        "reactivation_date": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-244-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA03808800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00497000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.