# SPINE & SPORTS MEDICINE OF BARNEGAT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003154519
- **Authorized official:** JAMES KIRK D.C. (DIRECTOR/ MANAGING PARTNER)
- **Authorized official phone:** (609) 660-0002

## Contact information

- **Practice address:** 175 GUNNING RIVER RD, BUILDING D, BARNEGAT, NJ 08005-1436
- **Practice address phone:** (732) 714-0070
- **Mailing address:** 175 GUNNING RIVER RD BLDG D, BARNEGAT, NJ 08005-1436
- **Mailing address phone:** (609) 660-0002
- **Mailing address fax:** (609) 660-0003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00577500 | NJ | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 10/14/2025
