Cepp Innovation Sports & Physical Rehab Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA104330 Issued in NJ

Legal business name

CEPP INNOVATION SPORTS & PHYSICAL REHAB CENTER

Practice address

1135 Broad St
FLR 3, Suite 2
Clifton, NJ 07013-3346

Phone

(973) 471-3500

Fax

(973) 471-3504

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ojugo, DPT

Title

Owner

Phone

(973) 471-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gennaro Rubino, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1194747725
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043422009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 BROAD ST",
            "address_2": "FLR 3, SUITE 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133346",
            "telephone_number": "973-471-3500",
            "fax_number": "973-471-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BROAD ST",
            "address_2": "FLR 3, SUITE 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133346",
            "telephone_number": "973-471-3500",
            "fax_number": "973-471-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEPP INNOVATION SPORTS & PHYSICAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OJUGO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-471-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA104330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7243404",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "11224882",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Family Support, New Jersey, Inc.
• Center for Nutrition, LLC
• Center for Sports Medicine & Physical Therapy
• Center for Sports Medicine LLC
• Centurion Anesthesia of New Jersey Inc
• Alexandra Nicole Cerbone, LMHC, LPC
• Lauren Chahalis, M.S. CCC-SLP
• Praveen Kumar Challa, R.PH
• Kaela Chambers, OTR/L
• Aruna Jwala Chanda

• All providers in Clifton, 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.