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

Coastal Spine PC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1417985094

Coastal Spine PC is an Orthopaedic Surgery of the Spine Physician in Mount Laurel, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4000 Church Rd
Mount Laurel, NJ 08054-1110
Phone: (856) 222-4444
Show map & directions

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

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1417985094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marguerite Zoltek — Billing Director · (856) 222-4444
NPI enumeratedJune 30, 2006
Last updated in NPPESJanuary 21, 2010
Mailing address4000 Church Rd, Mount Laurel, NJ 08054-1110

Other providers in Mount Laurel