BAYSHORE REHAB MEDICINE, PC
NPI 1033153135
Physical Medicine & Rehabilitation in Holmdel, NJ

Active since June 16, 2006
721 N BEERS ST, SUITE 1B, HOLMDEL, NJ 07733(732) 888-3300(732) 888-3116 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bayshore Rehab Medicine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYSHORE REHAB MEDICINE, PC (NPI 1033153135) is a healthcare organization registered as a physical medicine & rehabilitation in Holmdel, New Jersey and active in the NPI registry since June 2006. The organization lists Jidong Sun, Director, as its authorized official.

NPPES Registry Identity

NPI1033153135
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameBAYSHORE REHAB MEDICINE, PC
Location Address721 N BEERS ST, SUITE 1BHolmdel, NJ 07733-1518
Mailing Address721 N Beers St, Suite 1bHolmdel, NJ 07733-1518 · (732) 888-3300 · Fax (732) 888-3116
Fax(732) 888-3116
Organization SubpartNo
Authorized OfficialJidong SunDirector · (732) 888-3300
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033153135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
721 N BEERS ST, Holmdel, NJ 07733

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bayshore Rehab Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040303000022Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bayshore Rehab Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1033158282
1542 KUSER RD STE B3
Hamilton, NJ 08619
(732) 888-3300
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayshore Rehab Medicine, PC's NPI number?

The NPI number for Bayshore Rehab Medicine, PC is 1033153135. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Bayshore Rehab Medicine, PC located?

Bayshore Rehab Medicine, PC is located at 721 N Beers St Suite 1B, Holmdel, NJ 07733. The listed phone number is (732) 888-3300.

What is Bayshore Rehab Medicine, PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Bayshore Rehab Medicine, PC enrolled in Medicare?

Yes. Bayshore Rehab Medicine, PC is registered in the Medicare PECOS enrollment system.

When is Bayshore Rehab Medicine, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bayshore Rehab Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Bayshore Rehab Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bayshore Rehab Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.