Organization Active NPI

Well-Again, LLC

  • Physical Therapist
  • Long Branch, NJ
National Provider Identifier
1003015827
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01079000 Issued in NJ
Legal business name
WELL-AGAIN, LLC
Practice address
639 Broadway
Long Branch, NJ 07740-5482
Phone
(201) 988-7491
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Veronica Gail Jordan, PT, DPT, MPTNPI 1275732182
Title
Physical Therapist/Owner
Phone
(201) 988-7491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA01079000 NJ Primary

Addresses

Primary practice location

639 Broadway
Long Branch, NJ 07740-5482

Mailing address

480 Ocean Ave
5H
Long Branch, NJ 07740-8801
Phone (201) 988-7491

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1003015827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 OCEAN AVE",
            "address_2": "5H",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408801",
            "telephone_number": "201-988-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405482",
            "telephone_number": "201-988-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-AGAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "201-988-7491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01079000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.