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

Old Bridge Spine & Wellness Center, PA

Organization Durable Medical Equipment & Medical Supplies · NPI 1104389485

Old Bridge Spine & Wellness Center, PA is a Durable Medical Equipment & Medical Supplies in Freehold, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone: (732) 414-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1104389485
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOld Bridge Spine and Wellness PA
Authorized official Yamilia Nelson — Billing Coordinator · (732) 320-6285
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019
Mailing address144 Route 34, Matawan, NJ 07747-2132

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