Coastal Spine and Rehabilitation Center LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

COASTAL SPINE AND REHABILITATION CENTER LLC

Practice address

800 Highway 71
Sea Girt, NJ 08750-2800

Phone

(732) 974-7500

Fax

(732) 974-1802

NPI assigned

Jul 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Andrew Petrone, D.C.NPI 1346282407

Title

Owner

Phone

(732) 974-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 6

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

• Joseph Andrew Petrone, D.C.

  • Chiropractor
  • Sea Girt, NJ
  • NPI 1346282407
  NPD Authorized official
• Amy Emiko Beavis, PTA

  • Physical Therapy Assistant
  • Sea Girt, NJ
  • NPI 1710695259
  NPD
• Ya-Lung Chen, C.A

  • Acupuncturist
  • Sea Girt, NJ
  • NPI 1770746042
  NPD
• Justin W Tennant, PT, DPT

  • Physical Therapist
  • Manasquan, NJ
  • NPI 1811436223
  NPD
• Doris Torres, PT

  • Specialist
  • Point Pleasant Boro, NJ
  • NPI 1558496166
  NPD
• Thomas Abrams, DC

  • Chiropractor
  • Saddle Brook, NJ
  • NPI 1487315057
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251504000000",
    "number": "1891925590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HIGHWAY 71",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502800",
            "telephone_number": "732-974-7500",
            "fax_number": "732-974-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HIGHWAY 71",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502800",
            "telephone_number": "732-974-7500",
            "fax_number": "732-974-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPINE AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-08-29",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-974-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346282407",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386723294",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child Assessment and Psychological Services of New Jersey, LLC
• Kirk Chow, O.D.
• Jennifer Christopher, D.M.D.
• Catherine Churchill, D.P.M.
• Greg D Clark, D.P.M
• Kaitlyn Rose Colasurdo, MS, LPC
• Lori Ann Cormey, PTA
• Cornerstone Speech and Language
• Jessica Costa, HIS
• Jennifer Lake Cozzarelli, LPC

• All providers in Sea Girt, NJ
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.