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SHORE LIFE CHIROPRACTIC & WELLNESS
NPI 1104394832
Chiropractor in Brick, NJ

Active since November 12, 2018
101 PROSPER WAY STE H, BRICK, NJ 08723(732) 202-7846(732) 475-7182 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2019, Mar 13, 2019, Nov 12, 2018 (3 updates tracked since 2018).

About Shore Life Chiropractic & Wellness NPPES

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

SHORE LIFE CHIROPRACTIC & WELLNESS (NPI 1104394832) is a healthcare organization registered as a chiropractor in Brick, New Jersey and active in the NPI registry since November 2018. The organization lists Brett Tave, Owner, as its authorized official.

NPPES Registry Identity

NPI1104394832
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTAVE CLINIC LLC
Location Address101 PROSPER WAY STE HBrick, NJ 08723-3543
Mailing Address101 Prosper Way Ste HBrick, NJ 08723-3543 · (732) 202-7846 · Fax (732) 475-7182
Phone(732) 202-7846
Fax(732) 475-7182
Organization SubpartNo
Authorized OfficialBrett TaveOwner · (732) 202-7846
Enumeration DateNovember 12, 2018
Last NPPES UpdateJuly 23, 20193 updates tracked since enumeration
✔ NPI 1104394832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
101 PROSPER WAY STE H, Brick, NJ 08723
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Other Names 1

Doing Business AsShore Life Chiropractic & Wellness

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shore Life Chiropractic & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shore Life Chiropractic & Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brett Tave, D.C.
Chiropractic
NPI 1568930287
101 PROSPER WAY STE H
Brick, NJ 08723
(732) 202-7846
✔ Accepts MedicareSame address

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 Tave Clinic LLC's NPI number?

The NPI number for Tave Clinic LLC is 1104394832. It was assigned to this organization in the NPPES registry on November 12, 2018. The provider is doing business as Shore Life Chiropractic & Wellness.

Where is Tave Clinic LLC located?

Tave Clinic LLC is located at 101 Prosper Way Ste H, Brick, NJ 08723. The listed phone number is (732) 202-7846.

What is Tave Clinic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tave Clinic LLC enrolled in Medicare?

Yes. Tave Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tave Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tave Clinic LLC. 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 Tave Clinic LLC was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.