SHORE REGENERATIVE MEDICINE LLC NPI 1609534783

NPI Information

  • NPI: 1609534783
  • Provider Name: SHORE REGENERATIVE MEDICINE LLC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 137 ATLANTIC CITY BLVD
    BEACHWOOD, NJ
    ZIP 08722
  • Phone: (732) 244-0222

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NPI Details

SHORE REGENERATIVE MEDICINE LLC is a nurse practitioner in Beachwood, NJ. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. SHORE REGENERATIVE MEDICINE LLC NPI is 1609534783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

137 ATLANTIC CITY BLVD
BEACHWOOD, NJ
ZIP 08722-935
Phone: (732) 244-0222
Fax: (732) 244-0450

The provider's authorized official is Carrie Lavin .
The authorized official title is Office Manager and has the following contact phone number (732) 244-0222.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/6/2021.

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
1363L00000XNurse PractitionerYes

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: 11/21/2025

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