Panda Physical Medicine LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PANDA PHYSICAL MEDICINE LLC

Practice address

142 Highway 35 Ste 107
Eatontown, NJ 07724-1864

Phone

(732) 898-3040

Fax

(732) 531-1200

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Charles A Ferrante, DC

Title

Clinic Manager

Phone

(732) 455-1375

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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

• Joseph Fretta, MD

  • Specialist
  • West Orange, NJ
  • NPI 1538113626
  NPD (past)
• Patricia Mary Talerico, DC

  • Chiropractor
  • Ocean, NJ
  • NPI 1770567299
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1043711203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 DEAL RD APT 12",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123443",
            "telephone_number": "732-455-1375",
            "fax_number": "732-230-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGHWAY 35 STE 107",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241864",
            "telephone_number": "732-898-3040",
            "fax_number": "732-531-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "FERRANTE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "732-455-1375",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ozoroski, LSW
• Pacemaker Programming & Monitoring Corp.
• Alisa Pallitto
• Ludmilla Palmer, A.P.N.
• Pratik Panchal, M.D.
• Panda Physical Medicine LLC
• Olivia Rose Paone, LSW
• Brianna Pardo, LPC
• Nicholas Paredes
• Ruth Desiree Parsell, PTA

• Nurse Practitioner in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.