| Shore Preventative Wellness Center | |
|
25 Mule Rd Unit B4 Toms River NJ 08755-5037 | |
| (732) 341-0020 | |
| (732) 341-0072 |
| Full Name | Shore Preventative Wellness Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Mule Rd Unit B4, Toms River, New Jersey |
| Authorized Official Name and Position | Bankim D Shah (PRESIDENT) |
| Authorized Official Contact | 7323410020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Preventative Wellness Center 19 Mule Rd Ste C7 Toms River NJ 08755-5061 Ph: (732) 341-0020 | Shore Preventative Wellness Center 25 Mule Rd Unit B4 Toms River NJ 08755-5037 Ph: (732) 341-0020 |
| NPI Number | 1992720809 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 3870760531 |
|---|---|
| Medicare Enrollment ID | O20120120000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992720809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bankim D Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609899632 PECOS PAC ID: 8820014806 Enrollment ID: I20120120000191 |
| Provider Name | Sweta B Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003203118 PECOS PAC ID: 3274800701 Enrollment ID: I20170605000061 |
| Provider Name | Robert J Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770029464 PECOS PAC ID: 1052646882 Enrollment ID: I20190716001074 |
| Provider Name | Loriann Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801462668 PECOS PAC ID: 8022495308 Enrollment ID: I20220509000632 |
| Provider Name | Amy Valanzola |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033849583 PECOS PAC ID: 5890167472 Enrollment ID: I20230208000023 |
Benjamin D Lessig Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Commons Way, Bldg B, Toms River, NJ 08755 Phone: 732-281-3590 Fax: 732-281-0054 | |
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