BAYSHORE PAIN MANAGEMENT LLC
NPI 1093110017
Specialist in Keyport, NJ

Active since November 03, 2014
250 MAPLE PL, KEYPORT, NJ 07735(732) 264-8900 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bayshore Pain Management Llc NPPES

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

BAYSHORE PAIN MANAGEMENT LLC (NPI 1093110017) is a healthcare organization registered as a specialist in Keyport, New Jersey and active in the NPI registry since November 2014. The organization lists Charles Dietrich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1093110017
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBAYSHORE PAIN MANAGEMENT LLC
Location Address250 MAPLE PLKeyport, NJ 07735-1144
Mailing Address250 Maple PlKeyport, NJ 07735-1144 · (732) 264-8900
Organization SubpartNo
Authorized OfficialCharles DietrichAdministrator · (732) 264-8900
Enumeration DateNovember 3, 2014
NPI 1093110017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
250 MAPLE PL, Keyport, NJ 07735

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
250 MAPLE PL
KEYPORT, NJ 07735
Physician Assistant
250 MAPLE PL
KEYPORT, NJ 07735
Chiropractor
250 MAPLE PL
KEYPORT, NJ 07735
Physical Medicine & Rehabilitation
250 MAPLE PL
KEYPORT, NJ 07735
Physical Therapist
250 MAPLE PL
KEYPORT, NJ 07735
Internal Medicine (Rheumatology)
250 MAPLE PL
KEYPORT, NJ 07735

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 Pain Management LLC's NPI number?

The NPI number for Bayshore Pain Management LLC is 1093110017. It was assigned to this organization in the NPPES registry on November 3, 2014.

Where is Bayshore Pain Management LLC located?

Bayshore Pain Management LLC is located at 250 Maple Pl, Keyport, NJ 07735. The listed phone number is (732) 264-8900.

What is Bayshore Pain Management LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bayshore Pain Management LLC was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.