Provider Demographics
NPI:1235139726
Name:ALLSHORE ORTHOPEDIC REHABILITATION, CORP.
Entity Type:Organization
Organization Name:ALLSHORE ORTHOPEDIC REHABILITATION, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FRANCESCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-914-0000
Mailing Address - Street 1:PO BOX 4362
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-1562
Mailing Address - Country:US
Mailing Address - Phone:732-914-0000
Mailing Address - Fax:732-914-0007
Practice Address - Street 1:1430 HOOPER AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2895
Practice Address - Country:US
Practice Address - Phone:732-914-0000
Practice Address - Fax:732-914-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049454Medicare PIN