NPIMap

Organization Active NPI

Generations Physical Medicine LLC

  • Chiropractor
  • Middletown, NJ
National Provider Identifier
1093878852
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GENERATIONS PHYSICAL MEDICINE LLC
Practice address
14 Cherry Tree Farm Road
Middletown, NJ 07748-2297
Phone
(732) 671-3535
Fax
(732) 671-0829
NPI assigned
Dec 19, 2006
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Daniel H Grossman, DC
Title
President
Phone
(732) 671-3535

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Specialist 174400000X 25MA07722700 NJ
Physical Therapist 225100000X

Addresses

Primary practice location

14 Cherry Tree Farm Road
Middletown, NJ 07748-2297

Mailing address

14 Cherry Tree Farm Road
Middletown, NJ 07748-2297
Phone (732) 671-3535

National Provider Directory

National Provider Directory

Locations

14 Cherry Tree Farm Rd
#H
Middletown, NJ 07748

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1093878852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHERRY TREE FARM ROAD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482297",
            "telephone_number": "732-671-3535",
            "fax_number": "732-671-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHERRY TREE FARM ROAD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482297",
            "telephone_number": "732-671-3535",
            "fax_number": "732-671-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-671-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07722700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.