Mosaic Physical Medicine and Rehabilitation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA08522400 Issued in NJ

Legal business name

MOSAIC PHYSICAL MEDICINE AND REHABILITATION

Practice address

1933 State Route 35
Suite 105-286
Wall Township, NJ 07719-3502

Phone

(609) 992-6414

NPI assigned

Mar 5, 2015

Last updated

Jun 2, 2015By 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. Jennifer Scheick, M.D.NPI 1396984134

Title

Founder-Attending Physician

Phone

(609) 992-6414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Jennifer Theresa Scheick, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wall Township, NJ
  • NPI 1396984134
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1093108771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 STATE ROUTE 35",
            "address_2": "SUITE 105-286",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193502",
            "telephone_number": "609-992-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 STATE ROUTE 35",
            "address_2": "SUITE 105-286",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193502",
            "telephone_number": "609-992-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PHYSICAL MEDICINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHEICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FOUNDER-ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "609-992-6414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA08522400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.