Promed Physical Therapy Corp.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROMED PHYSICAL THERAPY CORP.

Doing business as

ProMed Physical Therapy and Sports Medicine

Practice address

40 N Van Brunt St Ste 29
Englewood, NJ 07631-2716

Phone

(201) 779-4998

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Hussein Jaafar, PTNPI 1053895441

Title

Owner

Phone

(201) 779-4998

Specialties & licenses 1

Addresses

Other names 1

• ProMed Physical Therapy and Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Hussein Jaafar

  • Physical Therapist
  • Union City, NJ
  • NPI 1053895441
  Medicare reassignment Care Compare group Authorized official
• Francisco Merino

  • Physical Therapist
  • West New York, NJ
  • NPI 1134750938
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1063045649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 54TH ST APT 302",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932278",
            "telephone_number": "201-779-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N VAN BRUNT ST STE 29",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312716",
            "telephone_number": "201-779-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PHYSICAL THERAPY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "JAAFAR",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-779-4998",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMed Physical Therapy and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.