MEDICARE: ADVANCED SPINE CARE AND PHYSICAL REHABILITATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site	25MB08376900	NJ

General Provider Information

NPI Number	:	1336695204
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SPINE CARE AND PHYSICAL REHABILITATION

Provider Business Mailing Address
First Line	:	728 BENNETTS MILLS RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3850
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	728 BENNETTS MILLS RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-3850
Country	:	US
Telephone Number	:	609-703-5097
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS
Name	:	MATT LEGOWSKI
Credential	:
Telephone Number	:	609-703-5097

Provider Enumeration Date	:	08/30/2016
Last Update Date	:	08/30/2016

Similar Medicare Providers

1235108838 — DR. LAMBROS R. LAMBROU DC
Practice Location Address:

728 BENNETTS MILLS RD , SUITE 1
JACKSON, NJ
08527-3850

Practice Phone: 732-415-1401
Practice Fax: 732-415-1403

1891816914 — ADVANCED SPINE CARE AND PHYSICAL REHABILITATION,LLC
Practice Location Address:

728 BENNETTS MILLS RD , SUITE 1
JACKSON, NJ
08527-3850

Practice Phone: 732-415-1401
Practice Fax: 732-415-1403

1689074247 — DIANA HAMDAN TURAN PHARMD
Practice Location Address:

702 BENNETTS MILLS RD
JACKSON, NJ
08527-3850

Practice Phone: 732-928-0400
Practice Fax:

1932500212 — DR. MITCHELL ANDREW PERNAL II D.C
Practice Location Address:

728 BENNETTS MILLS RD
JACKSON, NJ
08527-3850

Practice Phone: 732-415-1401
Practice Fax:

1225409576 — ANGELA FAHMY
Practice Location Address:

728 BENNETTS MILLS RD
JACKSON, NJ
08527-3850

Practice Phone: 732-491-8710
Practice Fax:

1124571849 — KATHRYN ANNE FELDENZER NP-C
Practice Location Address:

706 BENNETTS MILLS RD
JACKSON, NJ
08527-3850

Practice Phone: 732-724-2500
Practice Fax: 732-724-2600

Directions to “ADVANCED SPINE CARE AND PHYSICAL REHABILITATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.