Organization Active NPI

Quality Care Rehabilitation LLC

  • Specialist
  • Jersey City, NJ
National Provider Identifier
1013196203
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
QUALITY CARE REHABILITATION LLC
Practice address
1755 John F Kennedy Blvd
Jersey City, NJ 07305-1900
Phone
(201) 332-9988
Fax
(201) 332-4552
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Mr. Esmat Mohamed El HalimNPI 1417151622
Title
Physical Therapist
Phone
(201) 936-4208

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1755 John F Kennedy Blvd
Jersey City, NJ 07305-1900

Mailing address

16 E 5TH Street
Bayonne City, NJ 07002-4218
Phone (201) 332-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000251 NJ Part B Supplier - Clinic/Group Practice 7911933288 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

500 Orange St
Ste 303
Newark, NJ 07107
Phone (973) 268-2250

Practitioners & affiliated clinicians

Practitioners 3

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1013196203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 5TH STREET",
            "city": "BAYONNE CITY",
            "state": "NJ",
            "postal_code": "070024218",
            "telephone_number": "201-332-9988",
            "fax_number": "201-332-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051900",
            "telephone_number": "201-332-9988",
            "fax_number": "201-332-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "EL HALIM",
        "authorized_official_first_name": "ESMAT",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-936-4208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.