# COASTAL REHABILITATION MEDICINE ASSOCIATES PC

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

## Provider details

- **NPI number:** 1568498749
- **Authorized official:** MR. JOSEPH V STILLO M.D. (PRESIDENT)
- **Authorized official phone:** (732) 505-5123

## Contact information

- **Practice address:** 14 HOSPITAL DR, TOMS RIVER, NJ 08755-6402
- **Practice address phone:** (732) 505-5123
- **Practice address fax:** (732) 818-4839
- **Mailing address:** 14 HOSPITAL DR, TOMS RIVER, NJ 08755-6402
- **Mailing address phone:** (732) 505-5123
- **Mailing address fax:** (732) 818-4839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | MA05919900 | NJ | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 06/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5524407 | — | NJ |