Kennedy Rehab & Physical Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KENNEDY REHAB & PHYSICAL THERAPY

Practice address

3540 Kennedy Blvd
Jersey City, NJ 07307

Phone

(201) 386-1800

Fax

(201) 386-8218

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Syed M Shah, M.D.

Title

President

Phone

(201) 386-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1003029018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4505",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070590505",
            "telephone_number": "201-386-1800",
            "fax_number": "201-386-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07307",
            "telephone_number": "201-386-1800",
            "fax_number": "201-386-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY REHAB & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-386-1800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Kelleher, DMD
• Sarah Beth Kelner, MS-OTR/L, CLT
• Kelsey Munster Therapy LLC
• Etienne Kenfack, APN
• David Kenigsberg, MD
• Kirsten Marie Kennedy
• Robert Edward Kennedy, PH.D.
• Kenneth S Chang MD PA
• Shar Kennett, MD
• Kiera Kennette

• Specialist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.