Powers Street Orthopeadic Rehabilitation Center, P.a.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

POWERS STREET ORTHOPEADIC REHABILITATION CENTER, P.A.

Practice address

251 Powers St
New Brunswick, NJ 08901-3028

Phone

(732) 545-9191

Fax

(732) 545-0035

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Premkumar Rangala, M.D.

Title

Vice President

Phone

(732) 545-9191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023225612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 POWERS ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013028",
            "telephone_number": "732-545-9191",
            "fax_number": "732-545-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 POWERS ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013028",
            "telephone_number": "732-545-9191",
            "fax_number": "732-545-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERS STREET ORTHOPEADIC REHABILITATION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANGALA",
        "authorized_official_first_name": "PREMKUMAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-545-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vittoria Ann Pontieri-Lewis, REGISTERED NURSE
• Elizabeth A Poplin, MD
• Alexander David Port, M.D.
• Cassie Victoria Porteus
• Lindsay Potdevin, M.D.
• Katelyn Powers, MOT, OTR/L
• Angelica Alicia Pozzoli
• Avinash Prabhakar, M.D.
• Maya Prabhu, DDS
• Archana Pradhan

• All providers in New Brunswick, NJ
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.