Organization Active NPI

Maxhealth, LLC

  • Physical Medicine & Rehabilitation Physician
  • Old Bridge, NJ
National Provider Identifier
1083200521
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MAXHEALTH, LLC
Practice address
1405 Route 18 Ste 203
Old Bridge, NJ 08857-3777
Phone
(732) 967-0900
Fax
(732) 967-0913
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Beth Sholom
Title
Member
Phone
(732) 967-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1405 Route 18 Ste 203
Old Bridge, NJ 08857-3777

Mailing address

1405 Route 18 Ste 203
Old Bridge, NJ 08857-3777
Phone (732) 967-0900

Other names 1

  • MaxHealth Doing business as

National Provider Directory

National Provider Directory

Locations

1405 Route 18
Ste 203B
Old Bridge, NJ 08857
Phone (732) 967-0900

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1083200521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 ROUTE 18 STE 203",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573777",
            "telephone_number": "732-967-0900",
            "fax_number": "732-967-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 ROUTE 18 STE 203",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573777",
            "telephone_number": "732-967-0900",
            "fax_number": "732-967-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "SHOLOM",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-967-0900"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.