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

Jersey Shore Rejuvination Center, LLC

Organization General Practice Physician · NPI 1114300225

Jersey Shore Rejuvination Center, LLC is a General Practice Physician in Brick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

74 Brick Blvd Ste 124
Brick, NJ 08723-7984
Phone: (732) 262-2809
Fax: (732) 262-0400
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 25MA06352100 (NJ)

Record details

NPI number1114300225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabriele Jasper — Managing Member · (732) 262-2809
NPI enumeratedJuly 7, 2015
Last updated in NPPESJuly 7, 2015
Mailing address74 Brick Blvd Ste 124, Brick, NJ 08723-7984

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