MONMOUTH COUNTY PAIN MANAGEMENT & WELLNESS CENTER LLC


Address: 1131 Broad St Ste 104, Shrewsbury, NJ 07702-4334
Phone: 9086929833

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
25MA08847600 NJ Ambulatory Health Care Facilities

Office Location

Street Address 1131 BROAD ST STE 104
City SHREWSBURY
State NJ
Zip Code 07702-4334

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SHREWSBURY
Zip Code 07702

Improve Information

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Dataset Information

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.

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