Active NPI
Robert A Mustich, PT
- Physical Therapy Clinic/Center
- Brick, NJ
National Provider Identifier
1013015502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- NJ2090
- Practice address
- 1608 Route 88 Ste 201
Brick, NJ 08724-3044 - Phone
- (732) 840-5770
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NJ2090 | NJ | Primary |
Addresses
Primary practice location
1608 Route 88 Ste 201
Brick, NJ 08724-3044
Mailing address
1608 Route 88 Ste 201
Brick, NJ 08724-3044
Phone (732) 840-5770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ2090 | NJ | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013015502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 ROUTE 88 STE 201",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243044",
"telephone_number": "732-840-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 ROUTE 88 STE 201",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243044",
"telephone_number": "732-840-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTICH",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "NJ2090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.