Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Back and Pain Institute

Organization Pain Medicine (Anesthesiology) Physician · NPI 1407212905

Coastal Back and Pain Institute is a Pain Medicine (Anesthesiology) Physician in Brick, New Jersey. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

459 Jack Martin Blvd
Brick, NJ 08724-7724
Phone: (732) 747-7077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1407212905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Manganelli — Owner · (732) 747-7077
NPI enumeratedJanuary 13, 2016
Last updated in NPPESJanuary 13, 2016
Mailing addressPo Box 297, Manasquan, NJ 08736-0297

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