# SOUTH JERSEY REHAB AND SPINE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548999279
- **Authorized official:** MICHAEL PAUL DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (856) 207-1564

## Contact information

- **Practice address:** 6712 WASHINGTON AVE STE 203, EGG HARBOR TOWNSHIP, NJ 08234-1999
- **Practice address phone:** (609) 405-0329
- **Practice address fax:** (888) 830-1305
- **Mailing address:** 1030 N SHORE DR, BRIGANTINE, NJ 08203-2720
- **Mailing address phone:** (856) 207-1564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/08/2022
- **Last updated:** 06/08/2022