JERSEY SHORE SPORTS MEDICINE LLC NPI 1285080507

NPI Information

NPI: 1285080507
Provider Name: JERSEY SHORE SPORTS MEDICINE, LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
801 A CENTRAL AVE
OCEAN CITY, NJ
ZIP 08226
Phone: (609) 703-5097
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JERSEY SHORE SPORTS MEDICINE, LLC is a non pharmacy dispensing site in Ocean City, NJ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) JERSEY SHORE SPORTS MEDICINE, LLC NPI is 1285080507. The provider is registered as an organization entity type.

The provider's business location address is:

801 A CENTRAL AVE
OCEAN CITY, NJ
ZIP 08226
Phone: (609) 703-5097

The provider's authorized official is Matt Legowski .
The authorized official title is Operations and has the following contact phone number (609) 703-5097.

The enumeration date for this NPI number is 5/5/2016 and was last updated on 5/5/2016.

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
1	332900000X	Non-Pharmacy Dispensing Site		25MB08601300	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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