Provider Demographics
NPI:1730207697
Name:ALLSHORE ORTHOPEDIC REHABILITATION
Entity type:Organization
Organization Name:ALLSHORE ORTHOPEDIC REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:CARISSA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MILANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-914-0000
Mailing Address - Street 1:PO BOX 4362
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-1562
Mailing Address - Country:US
Mailing Address - Phone:732-914-0000
Mailing Address - Fax:
Practice Address - Street 1:340 MOUNTS CORNER DR
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2562
Practice Address - Country:US
Practice Address - Phone:732-780-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049454Medicare ID - Type Unspecified