Platinum Physical Therapy & Wellness

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

38MC00672600 Issued in NJ

Legal business name

PLATINUM PHYSICAL THERAPY & WELLNESS

Practice address

809 Highway 36
Union Beach, NJ 07735-3366

Phone

(732) 497-0930

Fax

(732) 497-0932

NPI assigned

Oct 25, 2016

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Goldenberg, D.C.NPI 1467779942

Title

Chiropractor

Phone

(732) 442-5542

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jerry Simon Goldenberg, D.C.

  • Chiropractor
  • Perth Amboy, NJ
  • NPI 1467779942
  Authorized official Same address or phone

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1043762065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ROUTE 36",
            "city": "UNION BEACH",
            "state": "NJ",
            "postal_code": "077353366",
            "telephone_number": "732-497-0930",
            "fax_number": "732-497-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 HIGHWAY 36",
            "city": "UNION BEACH",
            "state": "NJ",
            "postal_code": "077353366",
            "telephone_number": "732-497-0930",
            "fax_number": "732-497-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "732-442-5542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "38MC00672600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Home Care
• Rebecca Henriquez, LCSW
• Julie Coker LCSW LLC
• M.Dwyer LLC
• Monmouth Family Wellness Center (Monmouth family Wellness & Chiropractic Center)
• Daniella Polimeni, LCSW
• Prevention First Primary Care Inc
• Altagracia Ramirez, COTA
• Alla Rico, RDN
• Russell Salzman, RN

• Exclusive Provider Organization in Union Beach, NJ
• Providers in Union Beach, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.