OrganizationActive
Bayshore Pain Management LLC
NPI 1093110017 · Specialist · Keyport, NJ
Bayshore Pain Management LLC is a Specialist organization in Keyport, NJ (NPI 1093110017).
Provider details
- NPI number
- 1093110017
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Charles Dietrich, Administrator(732) 264-8900
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 Maple Pl
Keyport, NJ 07735-1144
Phone: (732) 264-8900
Street-level locationGet directions
Mailing address
250 Maple Pl
Keyport, NJ 07735-1144
Registry dates
- Enumerated
- 2014-11-03
- Last updated
- 2014-11-03
Frequently asked questions
- What is Bayshore Pain Management LLC's NPI number?
- Bayshore Pain Management LLC's National Provider Identifier (NPI) is 1093110017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayshore Pain Management LLC?
- Bayshore Pain Management LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Bayshore Pain Management LLC located?
- Bayshore Pain Management LLC's practice location on file with NPPES is 250 Maple Pl, Keyport, NJ 07735-1144.
- What is Bayshore Pain Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Bayshore Pain Management LLC is (732) 264-8900.
- Who is the authorized official for Bayshore Pain Management LLC?
- The authorized official listed on Bayshore Pain Management LLC's NPPES record is Charles Dietrich, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayshore Pain Management LLC's NPI active?
- Yes — Bayshore Pain Management LLC's NPI (1093110017) is active in the NPPES registry as of the last update on 2014-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.