| Nj Spine And Rehab Llc | |
|
186 County Road 520 Ste 1, Morganville, NJ 07751-1246 | |
| (732) 972-6010 | |
| Not Available |
| Full Name | Nj Spine And Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 186 County Road 520 Ste 1, Morganville, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043986482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Robert Perniola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982151221 PECOS PAC ID: 8022386127 Enrollment ID: I20170614000304 |
| Provider Name | Rick Caban |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417511304 PECOS PAC ID: 6305170457 Enrollment ID: I20190625000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Spine And Rehab Llc 714 Holmdel Rd, Holmdel, NJ 07733-1508 Ph: () - | Nj Spine And Rehab Llc 186 County Road 520 Ste 1, Morganville, NJ 07751-1246 Ph: (732) 972-6010 |
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