Coastal Spine is a medicare enrolled "Durable Medical Equipment & Medical Supplies" provider in Galloway, New Jersey. Their current practice location is
408 Chris Gaupp Dr Ste 250, Galloway, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(856) 222-4444.
Coastal Spine is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Coastal Spine
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811780968.
Healthcare Provider's Profile
| Full Name | Coastal Spine |
|---|
| Type | Facility |
|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|
| Location | 408 Chris Gaupp Dr Ste 250, Galloway, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811780968
- Provider Enumeration Date: 05/22/2025
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608264833
- Enrollment ID: O20250703000336
Medical Identifiers
Medical identifiers for Coastal Spine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811780968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coastal Spine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Coastal Spine 90 Matawan Rd Ste 302, Matawan, NJ 07747-2653 Ph: (732) 441-7177 | Coastal Spine 408 Chris Gaupp Dr Ste 250, Galloway, NJ 08205-4490 Ph: (856) 222-4444 |
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