NPIMap

Organization Active NPI

Pramukh Medical Services LLC

  • Physical Therapy Clinic/Center
  • Toms River, NJ
National Provider Identifier
1003671199
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRAMUKH MEDICAL SERVICES LLC
Practice address
1747 Hooper Ave Ste 15
Toms River, NJ 08753-8165
Phone
(732) 228-7273
NPI assigned
Feb 16, 2024
Organization subpart
Yes
Parent organization
PRAMUKH MEDICAL SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Chirag Patel
Title
Owner
Phone
(856) 266-2853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1747 Hooper Ave Ste 15
Toms River, NJ 08753-8165

Mailing address

3 Waters Edge Dr
Delran, NJ 08075-1895
Phone (856) 444-8405

Other names 1

  • Fyzical Therapy and Balance Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240311002124 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072959287 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Delran, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pramukh Medical Services LLC2 organizations share this tax ID, including this one
Part of
Pramukh Medical Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8008 Route 130
#A100
Delran, NJ 08075
Phone (856) 444-8405

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1003671199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WATERS EDGE DR",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751895",
            "telephone_number": "856-444-8405",
            "fax_number": "856-444-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 HOOPER AVE STE 15",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538165",
            "telephone_number": "732-228-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMUKH MEDICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAMUKH MEDICAL SERVICES LLC",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-266-2853"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.