SHORE KIDS PEDIATRIC THERAPIES, LLC (NPI# 1083097745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083097745 |
| Entity Type | Organization |
| Organization Name | SHORE KIDS PEDIATRIC THERAPIES, LLC |
| Practice Address |
14 Bridgewaters Dr Oceanport NJ 07757 |
| Mailing Address |
14 Bridgewaters Dr Oceanport NJ 07757-1162 |
| Practice Telephone | 7324601500 |
| Practice Fax Number | 7324601501 |
| Mailing Telephone | 7324601500 |
| Mailing Fax Number | 7324601501 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | TRACY JILL GARGUILO (OCCUPATIONAL THERAPIST/CO-OWNER) |
| Authorized Official Telephone | 7324601500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 46TR00397400 | NJ | Other Service Providers |
| Street Address |
14 BRIDGEWATERS DR |
| City | OCEANPORT |
| State | NJ |
| Zip Code | 07757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538372404 | Sibel Nur Bilgin-zentai | Physical Therapist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2007-05-08 |
| 1861028359 | Lindsay Meyer-thein LLC | Social Worker | 14 Bridgewaters Dr, Oceanport, NJ 07757-1162 | 2020-03-17 |
| 1073856472 | Lindsey C Mcpherson | Speech-Language Pathologist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2013-04-03 |
| 1780924324 | Sandra L Miller | Physical Therapist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2013-02-19 |
| 1407102841 | Alysia Cole | Occupational Therapist | 14 Bridgewaters Dr, Oceanport, NJ 07757-1162 | 2012-08-02 |
| 1841554862 | Anke S Girolamo | Occupational Therapist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2012-06-25 |
| 1538439765 | Michelle Plesser | Speech-Language Pathologist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2012-01-04 |
| 1639449861 | Lynn A Williams | Occupational Therapist | 14 Bridgewaters Dr, Oceanport, NJ 07757-1162 | 2012-01-04 |
| 1043596554 | Jennifer Carlisle Walk | Speech-Language Pathologist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2011-10-27 |
| 1699061887 | Chelsea L Saito | Occupational Therapist | 14 Bridgewaters Dr, Suite A, Oceanport, NJ 07757-1162 | 2011-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760712129 | Danielle A Clarke | Social Worker | 10 Asylum St., Milford, MA 07757 | 2010-01-07 |
| 1609903277 | Lauren Labrecque Gallagher | Occupational Therapist | 15 Bridgewaters Dr., Suite A, Oceanport, NJ 07757 | 2007-02-28 |
| 1477689826 | Benita Isabel Mancini-ajello | Speech-Language Pathologist | 14 Bridgewaters Drive, Suite A, Oceanport, NJ 07757 | 2007-02-27 |
| 1154411544 | Kostantinos Linardakis | Chiropractor | 1000 Sanger Avenue, Suite #205, Oceanport, NJ 07757 | 2006-10-13 |
| 1760580666 | Carolyn Watts | Occupational Therapist | 64 Genessee Ave, Oceanport, NJ 07757 | 2006-09-21 |
| 1861949984 | Beacon Infusion Health Services LLC | Clinic/Center | 1075 Stephenson Avenue, Suite D-2, Oceanport, NJ 07757 | 2016-09-07 |
| 1942678396 | Acutecare Health System | PACE Provider Organization | 1075 Stephenson Ave, Oceanport, NJ 07757 | 2015-09-02 |
| 1831595610 | Stacey Telenson | Nurse Practitioner | 1945 New Jersey 33, Neptune, NJ 07757 | 2014-11-06 |
| 1801146287 | Abilities In Action, LLC | Clinic/Center | 14 Bridgewaters Drive, Suite A, Oceanport, NJ 07757 | 2012-09-13 |
| 1154689339 | Mary Riter | Physical Therapist | 14 Bridgewaters Drive, Suite A, Oceanport, NJ 07757 | 2012-04-25 |
| Find all providers in zip 07757 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817356 | Erica Strubbe-montalvo | Specialist | 135 Larch Ave, Bogota, NJ 07603-1504 | 2020-10-08 |
| 1154937076 | Ines P Serna | Specialist | 7312 Kiesel Pl, North Bergen, NJ 07047-4033 | 2020-09-16 |
| 1568077238 | Michelle Horowitz-firestone | Specialist | 5 Whitman Ter, Long Branch, NJ 07740-9310 | 2020-09-10 |
| 1811509946 | Iris Devaughn | Specialist | 218 High St Apt 6, Burlington City, NJ 08016-4420 | 2020-08-19 |
| 1083223572 | Enlyv Clinics | Specialist | 908 Oak Tree Ave Ste R, South Plainfield, NJ 07080-5135 | 2020-07-30 |
| 1235748971 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 254b Mountain Ave Ste 201, Hackettstown, NJ 07840-2413 | 2020-07-29 |
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1699391557 | Brojan Franchising Inc | Specialist | 76 Highland Trl, Denville, NJ 07834-2033 | 2020-06-17 |
| 1487274288 | Kyle Everage | Specialist | 129 Passaic Ave # 201, Kearny, NJ 07032-1105 | 2020-04-21 |
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.