NPIMap

Organization Active NPI

Mullaney and Associates Physical Therapy

  • Physical Therapist
  • Matawan, NJ
National Provider Identifier
1093802423
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MULLANEY AND ASSOCIATES PHYSICAL THERAPY
Practice address
127 Main St
Suite E
Matawan, NJ 07747-2621
Phone
(732) 970-4974
Fax
(732) 576-1542
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Mrs. Christine MullaneyNPI 1194812537
Title
Owner
Phone
(732) 576-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

127 Main St
Suite E
Matawan, NJ 07747-2621

Mailing address

PO Box 4071
Middletown, NJ 07748-4071
Phone (732) 576-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060223000051 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072529437 Receives reassigned benefits from 6 practitioners
Practice locations: Matawan, NJ

National Provider Directory

National Provider Directory

Locations

127 Main St
Matawan, NJ 07747
Phone (732) 970-4974

127 Main St
Ste E
Matawan, NJ 07747
Phone (732) 970-4974

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1093802423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4071",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484071",
            "telephone_number": "732-576-1500",
            "fax_number": "732-576-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "address_2": "SUITE E",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472621",
            "telephone_number": "732-970-4974",
            "fax_number": "732-576-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLANEY AND ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "MULLANEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-576-1500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.