Organization Active NPI

Cepp Innovation Sports & Physical Rehab Center

  • Physical Therapy Clinic/Center
  • Clifton, NJ
National Provider Identifier
1043422009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth Ojugo, DPTNPI 1265651996
Title
Owner
Phone
(973) 471-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA104330 NJ Primary

Addresses

Primary practice location

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

Mailing address

1135 Broad St
FLR 3, Suite 2
Clifton, NJ 07013-3346
Phone (973) 471-3500

National Provider Directory

National Provider Directory

Locations

1081 Paulison Ave
Ste 109
Clifton, NJ 07011

1081 Paulison Ave
Ste 3B
Clifton, NJ 07011

1135 Broad St
Ste 2
Clifton, NJ 07013
Phone (973) 471-3500

3391 State Route 27
Franklin Park, NJ 08823
Phone (732) 821-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • 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.