Healthcare Provider Details

I. General information

NPI: 1003107913
Provider Name (Legal Business Name): MONMOUTH SPINE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 N GILBERT ST STE 3101
TINTON FALLS NJ
07701
US

IV. Provider business mailing address

55 N GILBERT ST STE 3101
TINTON FALLS NJ
07701-4959
US

V. Phone/Fax

Practice location:
  • Phone: 732-747-2000
  • Fax: 732-933-1744
Mailing address:
  • Phone: 732-747-2000
  • Fax: 732-933-1744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00629100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00129300
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD T SHEERIN
Title or Position: OWNER
Credential: B.S.,D.C.
Phone: 732-747-2000