Active NPIOrganization

Jersey Shore Sports Medicine

Family Medicine, Sports Medicine in Somers Point, New Jersey

NPI Number1154732907
Practice location
10 W Connecticut Ave, Somers Point, NJ 08244-1975
Fax
609-904-2566
Last updated
March 3, 2017

Jersey Shore Sports Medicine is a healthcare organization based in Somers Point, NJ. Jersey Shore Sports Medicine practices in Somers Point, NJ. The NPI Number for Jersey Shore Sports Medicine is 1154732907 and holds a License No. 25MB08601300 (NJ). The current practice location address for Jersey Shore Sports Medicine is 10 W Connecticut Ave, Somers Point, NJ 08244-1975 and can be reached out via phone at 609-904-2565 and via fax at 609-904-2566.

Provider Profile Details

NPI Number
1154732907
Provider Name
Jersey Shore Sports Medicine
Provider Entity Type
Organization
Address
10 W Connecticut Ave, Somers Point, NJ 08244-1975
Phone Number
609-904-2565
Fax Number
609-904-2566
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Organization Subpart
No
Authorized Official
Brian Sokalsky, DO · Owner · 609-904-2565
Provider Enumeration Date
May 14, 2014
Last Update Date
March 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 W Connecticut Ave
Somers Point, NJ 08244-1975
Zip
08244-1975
Phone Number
609-904-2565
Fax Number
609-904-2566
Somers Point, NJ 08244Get directions →

Provider Business Mailing Address Details

Address
10 W Connecticut Ave
Somers Point, NJ 08244-1975
City
Somers Point
State
NJ
Zip
08244-1975
Phone Number
609-904-2565
Fax Number
609-904-2566

License Information

License Number
25MB08601300
License State
NJ
Taxonomy
Family Medicine, Sports Medicine · 207QS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jersey Shore Sports Medicine?

The NPI number of Jersey Shore Sports Medicine is 1154732907. It was assigned on May 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Jersey Shore Sports Medicine?

Jersey Shore Sports Medicine is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number 25MB08601300.

Where does Jersey Shore Sports Medicine practice?

The practice location is 10 W Connecticut Ave, Somers Point, NJ 08244-1975. The office can be reached at 609-904-2565 (phone) or 609-904-2566 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154732907 directly on the NPPES registry website.

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