MONMOUTH COUNTY PAIN MANAGEMENT & WELLNESS CENTER LLC (NPI# 1811319189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811319189 |
Entity Type | Organization |
Organization Name | MONMOUTH COUNTY PAIN MANAGEMENT & WELLNESS CENTER LLC |
Practice Address |
1131 Broad St Ste 104 Shrewsbury NJ 07702-4334 |
Practice Telephone | 9086929833 |
Mailing Telephone | 9086929833 |
Enumeration Date | 2014-01-06 |
Last Update Date | 2014-08-12 |
Authorized Official Name | NICOLE KEEGAN (MD) |
Authorized Official Telephone | 9086929833 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
25MA08847600 | NJ | Ambulatory Health Care Facilities |
Street Address |
1131 BROAD ST STE 104 |
City | SHREWSBURY |
State | NJ |
Zip Code | 07702-4334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629299615 | Lane Gruber Rose | Psychiatry & Neurology | 1131 Broad St Ste 104, Shrewsbury, NJ 07702-4329 | 2007-05-01 |
1356852875 | Shore Medical Dme | Durable Medical Equipment & Medical Supplies | 1131 Broad St Ste 104, Shrewsbury, NJ 07702-4334 | 2017-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
1952723264 | Encore Dental of Shrewsbury | Dentist | 40 Shrewsbury Plaza, Shrewsbury, NJ 07702 | 2014-01-07 |
1952503393 | Dana L Essner | Nurse Practitioner | 655 Shrewsbury Ave Ste 206, Shrewsbury, NJ 07702 | 2007-06-05 |
1265646764 | Marvin Jeffrey Sher | Dentist | 23 White Street, Shrewsbury, NJ 07702 | 2007-05-10 |
1467679076 | Lori A. Magoulas | Dietitian, Registered | 39 Avenue At The Common, Suite 106, Shrewsbury, NJ 07702 | 2007-04-18 |
1932247459 | Judith Lorraine Krusell | Psychologist | 322 Sycamore Avenue, Shrewsbury, NJ 07702 | 2007-02-05 |
1114070539 | Jessica L Federici | Social Worker | 812 Broad St, Shrewsbury, NJ 07702 | 2007-01-19 |
1043363583 | Nursefinders Inc | Home Health | 170 Avenue At The Common, Suite 1, Shrewsbury, NJ 07702 | 2007-01-19 |
1598816365 | Mitchell Jeffrey Gardiner | Dentist | 59 Avenue At The Common, Suite 205, Shrewsbury, NJ 07702 | 2007-01-16 |
1144383837 | Global Healthcare Alliances, LLC | Skilled Nursing Facility | 39 Ave At The Commons, Suite 206, Shrewsbury, NJ 07702 | 2006-12-18 |
Find all providers in zip 07702 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558603522 | Current Pulse LLC | Clinic/Center | 170 Patterson Ave, Suite 3, Shrewsbury, NJ 07702-4167 | 2013-03-18 |
1588621957 | Pulse Inc | Clinic/Center | 174 Patterson Ave, Shrewsbury, NJ 07702-4168 | 2006-04-28 |
1720530397 | Monmouth Family Chiropractic | Clinic/Center | 740 Broad St, Shrewsbury, NJ 07702-4228 | 2016-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497378467 | Nickhil Gupta Do PC | Clinic/Center | 37 W Century Rd Ste 106, Paramus, NJ 07652-1466 | 2020-05-25 |
1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
1578129490 | Beaute Medispa, LLC | Clinic/Center | 195 Route 9 Ste 101, Manalapan, NJ 07726-8294 | 2019-05-16 |
1437627023 | Point Pediatrics | Clinic/Center | 800 Route 88 Ste 3, Point Pleasant Boro, NJ 08742-4085 | 2018-11-13 |
1770067126 | Skin Cancer and Cosmetic Surgery Center of New Jersey, LLC | Clinic/Center | 10 Parsonage Rd Ste 312, Edison, NJ 08837-2429 | 2018-09-21 |
1780165100 | Renew Med Spa and Clinic LLC | Clinic/Center | 601 Hamburg Tpke Ste 101, Wayne, NJ 07470-2049 | 2018-08-23 |
1497243232 | Tristate Multispecialty Medical Services PC | Clinic/Center | 126 State St Fl 1, Hackensack, NJ 07601-5448 | 2018-04-26 |
1285136226 | Robinson-gallaro Gi Health & Solutions | Clinic/Center | 717 N Beers St Ste 2c, Holmdel, NJ 07733-1525 | 2018-03-06 |
1821505462 | Integrative Wellness & Cosmetics, Inc | Clinic/Center | 601 9th St, Hoboken, NJ 07030-6428 | 2018-01-04 |
1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
Find all providers with the same taxonomy |
City | SHREWSBURY |
Zip Code | 07702 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.