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

Myrtle Health VA LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1811823008

Myrtle Health VA LLC is a Physical Medicine & Rehabilitation Physician in Lakewood, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
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

1382 Lanes Mill Rd Ste 104
Lakewood, NJ 08701-3893
Phone: (212) 734-6621
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1811823008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Shumulinskiy — Owner · (732) 267-1643
NPI enumeratedJune 23, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address1382 Lanes Mill Rd Ste 104, Lakewood, NJ 08701-3893

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