Individual provider Active NPI

Eileen Gurgone, DPT

  • Physical Therapist
  • Spring Lake, NJ
National Provider Identifier
1942227400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA07486 Issued in NJ
Practice address
1325 Warren Ave
Suite 5
Spring Lake, NJ 07762-2566
Phone
(973) 467-7976
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA07486 NJ Primary

Addresses

Primary practice location

1325 Warren Ave
Suite 5
Spring Lake, NJ 07762-2566

Mailing address

187 Millburn Ave
Suite 110
Millburn, NJ 07041-1847
Phone (973) 467-7976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000006 NJ Practitioner - Physical Therapist in Private Practice 8022044908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey RehabilitationGroup PAC ID 5193220549, 5 clinicians

Practice addresses (Care Compare)

1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (732) 974-8100

240 Parker Ave
Manasquan, NJ 08736-2804
Phone (732) 937-8939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA07486NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Girt Physical Medicine and Rehabilitation Associates, LLC CurrentSince Jan 1, 2020 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Jan 3, 2025 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Jan 3, 2025 Accepting new patients

Locations

240 Parker Ave
Manasquan, NJ 08736
Phone (732) 612-8412

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942227400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "SUITE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411847",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WARREN AVE",
            "address_2": "SUITE 5",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622566",
            "telephone_number": "973-467-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGONE",
        "first_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA07486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.