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COASTAL REHABILITATION MEDICINE ASSOCIATES PC NPI 1568498749


NPI Information

NPI: 1568498749
Provider Name: COASTAL REHABILITATION MEDICINE ASSOCIATES PC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
14 HOSPITAL DR
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 505-5123
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COASTAL REHABILITATION MEDICINE ASSOCIATES PC is a rehabilitation practitioner in Toms River, NJ. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. COASTAL REHABILITATION MEDICINE ASSOCIATES PC NPI is 1568498749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 HOSPITAL DR
TOMS RIVER, NJ
ZIP 08755-402
Phone: (732) 505-5123
Fax: (732) 818-4839

The provider's authorized official is Joseph V Stillo .
The authorized official title is President and has the following contact phone number (732) 505-5123.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 6/23/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation PractitionerMA05919900NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15524407MEDICAIDNEW JERSEY
2A59930MEDICARE UPINNEW JERSEY
3022553MEDICARE PINNEW JERSEY

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: 11/14/2023

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.