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COASTAL SPINE PC
NPI 1417985094
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Mount Laurel, NJ

Active since June 30, 2006CLIA 31D2090807 · Waiver
4000 CHURCH RD, MOUNT LAUREL, NJ 08054(856) 222-4444 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Spine Pc NPPES

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

COASTAL SPINE PC (NPI 1417985094) is a healthcare organization registered as an orthopaedic surgery of the spine in Mount Laurel, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Marguerite Zoltek, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1417985094
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameCOASTAL SPINE PC
Location Address4000 CHURCH RDMount Laurel, NJ 08054-1110
Mailing Address4000 Church RdMount Laurel, NJ 08054-1110 · (856) 222-4444
Phone(856) 222-4444
Organization SubpartNo
Authorized OfficialMarguerite ZoltekBilling Director · (856) 222-4444
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 21, 2010
✔ NPI 1417985094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
4000 CHURCH RD, Mount Laurel, NJ 08054
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Other Identifiers 2

Medicare NSC5511390001NJ
Medicare PIN069103NJ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2090807

Coastal Spine · Mount Laurel, NJ
Active · expires Jan 29, 2027
CLIA Number31D2090807
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorScott Jarmain
Laboratory Phone(856) 222-4444
Laboratory LocationCoastal Spine4000 Church Road, Mount Laurel, NJ 08054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JAMES GEORGE MORAN DO
Physical Medicine & Rehabilitation
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 222-4444
SCOTT CHALBERT PT, DPT
Physical Therapist
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 281-7500
JAIME LENCHAK P.A.
Physician Assistant (Surgical)
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 222-4444
DR. SCOTT JOSEPH JARMAIN M.D.
Physical Medicine & Rehabilitation
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 222-4444
NICHOLAS A DELLAVECCHIA
Physical Therapist
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 281-7500
SETH DAVID SCHOLL D.O.
Physical Medicine & Rehabilitation
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 222-4444
SAMANTHA MCDEVITT PA-C
Physician Assistant (Medical)
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 222-4444
PREMIER BRAIN AND SPINE LLC
Durable Medical Equipment & Medical Supplies
4000 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 222-4444

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 Coastal Spine PC's NPI number?

The NPI number for Coastal Spine PC is 1417985094. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Coastal Spine PC located?

Coastal Spine PC is located at 4000 Church Rd, Mount Laurel, NJ 08054. The listed phone number is (856) 222-4444.

What is Coastal Spine PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Does Coastal Spine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2090807) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Spine PC was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.