COASTAL BACK AND PAIN INSTITUTE


Address: 459 Jack Martin Blvd, Brick, NJ 08724-7724
Phone: 7327477077

COASTAL BACK AND PAIN INSTITUTE (NPI# 1407212905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407212905
Entity Type Organization
Organization Name COASTAL BACK AND PAIN INSTITUTE
Practice Address 459 Jack Martin Blvd
Brick
NJ 08724-7724
Mailing Address Po Box 297
Manasquan
NJ 08736-0297
Practice Telephone 7327477077
Enumeration Date 2016-01-13
Last Update Date 2016-01-13
Authorized Official Name DOUGLAS MANGANELLI (OWNER)
Authorized Official Telephone 7327477077
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 459 JACK MARTIN BLVD
City BRICK
State NJ
Zip Code 08724-7724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689665358 James Aloysius Clarke Family Medicine 459 Jack Martin Blvd, Suite 1, Brick, NJ 08724-7724 2005-11-02
1275977555 Harshil Patel Internal Medicine 459 Jack Martin Blvd, Brick, NJ 08724-7724 2013-04-17
1740471580 Ninfa A Alcasid Internal Medicine 459 Jack Martin Blvd, Brick, NJ 08724-7724 2007-08-07
1649496043 Theodore B Lygas Md F A C S Pa Surgery 459 Jack Martin Blvd, Suite 5a, Brick, NJ 08724-7724 2007-04-17
1528117207 Theodore B. Lygas Surgery 459 Jack Martin Blvd, Suite 5a, Brick, NJ 08724 2007-01-10
1730254053 John Michael Pellegrino Surgery 459 Jack Martin Blvd, Brick, NJ 08724-7724 2006-11-21
1073619318 Andrew L. Simon M.d., F.a.c.s, P.a. Urology 459 Jack Martin Blvd, Suite 3, Brick, NJ 08724-7724 2006-09-15
1508807082 Virendra Patel Internal Medicine 459 Jack Martin Blvd, Brick, NJ 08724-7724 2006-06-08
1992767388 Andrew L. Simon Urology 459 Jack Martin Blvd, Suite 3, Brick, NJ 08724-7724 2006-04-03
1528048055 Hojun Yoo Internal Medicine 459 Jack Martin Blvd, Ste 4, Brick, NJ 08724-7724 2006-01-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386498 Mark Malak Pharmacist 668 New Jersey Ave # 70, Brick, NJ 08724 2020-11-08
1699381681 Kimberly Granai Nurse Practitioner 1617 Nj-88, Brick Township, NJ 08724 2020-09-16
1407461346 Marina N Samuel Pharmacist 1890 Rt 88, Brick, NJ 08724 2020-09-08
1255974440 Diana Rachel Williamson Pharmacy Technician 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 2019-10-21
1710536842 Stephanie Ann Papa Nurse Practitioner 2125 Nj 88, Brick, NJ 08724 2019-09-11
1417504515 Susan B Anthony Physical Therapist 676 Overlook Ct, Brick, NJ 08724 2019-08-22
1831688076 Jennifer S Cashin Social Worker 1500 Nj-88, Brick, NJ 08724 2018-05-03
1528555315 James Kish Pt Physical Therapist 602 Yellowbrick Rd, Brick, NJ 08724 2018-04-17
1396262200 Michael Stephen Zito-govert Nurse Practitioner 1640 Route 88 West, Suite 203, Brick, NJ 08724 2017-08-23
1083140420 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1200 Route 70 East, Brick, NJ 08724 2017-05-04
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750914776 Center for Regenerative Therapy and Pain Management Anesthesiology 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 2020-02-18
1477942423 Morris Anesthesia Group, Pa Anesthesiology 495 Jack Martin Blvd, Brick, NJ 08724-7778 2015-01-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013517044 Excellence Medical Care, PC Anesthesiology 110 S Grove St Fl 2, East Orange, NJ 07018-4102 2020-10-28
1851998488 Kenneth Paul Michelette Anesthesiology 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 2020-10-06
1407462815 Optimal Pain & Spine Anesthesiology 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 2020-09-21
1457986119 Windsor Management LLC Michael Ole Fridman Sole Mbr. Anesthesiology 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 2020-03-03
1083251375 Joshua Persaud Md LLC Anesthesiology 2 Pine Meadow Ct, E Brunswick, NJ 08816 2019-12-05
1649816976 Elizabeth Pavlovsky Anesthesiology 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 2019-11-21
1265991772 Interventional Spine and Surgery Group, LLC Anesthesiology 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 2019-03-14
1477017929 Mountainside Pain Management PC Anesthesiology 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 2019-01-29
1043786346 Neurosure Anesthesiology 326a 6th St, Saddle Brook, NJ 07663-6306 2018-10-15
1457842429 Gout Institute of America Anesthesiology 727 Joralemon St., Belleville, NJ 07109 2018-05-24
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Competitor

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City BRICK
Zip Code 08724

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Dataset Information

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.

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