Family PM LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

FAMILY PM LLC

Practice address

300 Craig Rd Ste 204
Manalapan, NJ 07726-8742

Phone

(732) 546-1383

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Roman Shaposhnikov

Title

Owner

Phone

(732) 546-1383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Daniel Nassirzadeh, DC

  • Chiropractor
  • Cliffside Park, NJ
  • NPI 1518207257
  Medicare reassignment Care Compare group NPD
• Yevgeniya Peskova, MS OTR/L

  • Occupational Therapist
  • Manalapan, NJ
  • NPI 1275994519
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747526400000",
    "number": "1104554633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CRAIG RD STE 204",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268742",
            "telephone_number": "732-546-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRAIG RD STE 204",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268742",
            "telephone_number": "732-546-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "SHAPOSHNIKOV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-546-1383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amnon Faktor, DDS
• Derek J Faktor, DMD MBA
• Victoria Faljean, LPC, LPAT
• Susanna Falls
• Fam Dental, Inc
• Family Wellness and Rehab
• Caitlyn Aimaa Fardella, LAC
• Layla Farraj
• Lillian Fasman, O.D.
• Donna Fassman, DDS

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.