National Provider Identifier Database

SHORE REHABILITATION INSTITUTE
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

SHORE REHABILITATION INSTITUTE
425 JACK MARTIN BLVD
BRICK, NJ08724-7732
Phone: 732-836-4506
Fax: 732-632-1676
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for SHORE REHABILITATION INSTITUTE

NPI Number 1518973379
Legal business name
LBN
SHORE REHABILITATION INSTITUTE
Authorized official RICHARD SMITH - (SR VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/01/2006
Last updated 09/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 22219
  • NJ Medicaid: 6512909

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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