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SPINE & SPORTS MEDICINE OF BARNEGAT L.L.C. NPI 1003154519


NPI Information

NPI: 1003154519
Provider Name: SPINE & SPORTS MEDICINE OF BARNEGAT, L.L.C.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
175 GUNNING RIVER RD
BUILDING D
BARNEGAT, NJ
ZIP 08005
Phone: (732) 714-0070
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SPINE & SPORTS MEDICINE OF BARNEGAT, L.L.C. is a pain medicine physical medicine rehabilitation in Barnegat, NJ. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. SPINE & SPORTS MEDICINE OF BARNEGAT, L.L.C. NPI is 1003154519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 GUNNING RIVER RD
BUILDING D
BARNEGAT, NJ
ZIP 08005-436
Phone: (732) 714-0070

The provider's authorized official is James Kirk .
The authorized official title is Director/ Managing Partner and has the following contact phone number (609) 660-0002.

The enumeration date for this NPI number is 1/18/2013 and was last updated on 6/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor38MC00577500NEW JERSEYNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11760519102OTHERNEW JERSEYNPI NUMBER
21811010549OTHERNEW JERSEYNPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.