JERSEY SHORE REJUVINATION CENTER, LLC
NPI 1114300225
General Practice in Brick, NJ

Q: What is Jersey Shore Rejuvination Center, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 07, 2015

74 BRICK BLVD STE 124, BRICK, NJ 08723(732) 262-2809(732) 262-0400 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jersey Shore Rejuvination Center, Llc NPPES

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

JERSEY SHORE REJUVINATION CENTER, LLC (NPI 1114300225) is a healthcare organization registered as a general practice in Brick, New Jersey and active in the NPI registry since July 2015. The organization lists Gabriele P Jasper, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1114300225

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameJERSEY SHORE REJUVINATION CENTER, LLC

Location Address74 BRICK BLVD STE 124Brick, NJ 08723-7984

Mailing Address74 Brick Blvd Ste 124Brick, NJ 08723-7984 · (732) 262-2809

Phone(732) 262-2809

Fax(732) 262-0400

Organization SubpartNo

Authorized OfficialGabriele P JasperManaging Member · (732) 262-2809

Enumeration DateJuly 7, 2015

✔ NPI 1114300225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NJ · 25MA06352100

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

74 BRICK BLVD STE 124, Brick, NJ 08723

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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

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 Jersey Shore Rejuvination Center, LLC's NPI number?

The NPI number for Jersey Shore Rejuvination Center, LLC is 1114300225. It was assigned to this organization in the NPPES registry on July 7, 2015.

Where is Jersey Shore Rejuvination Center, LLC located?

Jersey Shore Rejuvination Center, LLC is located at 74 Brick Blvd Ste 124, Brick, NJ 08723. The listed phone number is (732) 262-2809.

What is Jersey Shore Rejuvination Center, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jersey Shore Rejuvination Center, LLC was last updated on July 7, 2015. 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.