Organization Active NPI

Advanced Medical Associates

Doing business as Advanced Physical Medicine& Rehabilitation

  • Orthopedic Chiropractor
  • Red Bank, NJ
National Provider Identifier
1114336450
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
38MC00470000 Issued in NJ
Legal business name
ADVANCED MEDICAL ASSOCIATES
Doing business as
Advanced Physical Medicine& Rehabilitation
Practice address
46 Newman Springs Rd E
Red Bank, NJ 07701-1530
Phone
(732) 894-9200
Fax
(732) 894-9202
NPI assigned
Aug 12, 2014
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Dr. Daniel Reizis, PT, DPTNPI 1174835755
Title
Managing /Member
Phone
(732) 894-9200

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
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X 38MC00470000 NJ Primary

Addresses

Primary practice location

46 Newman Springs Rd E
Red Bank, NJ 07701-1530

Mailing address

46 Newman Springs Rd E
Red Bank, NJ 07701-1530
Phone (732) 894-9200

Other names 1

  • Advanced Physical Medicine& Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

46 Newman Springs Rd E
Red Bank, NJ 07701
Phone (732) 933-4100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1114336450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NEWMAN SPRINGS RD E",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011530",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NEWMAN SPRINGS RD E",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011530",
            "telephone_number": "732-894-9200",
            "fax_number": "732-894-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "REIZIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING /MEMBER",
        "authorized_official_telephone_number": "732-894-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "NJ",
            "license": "38MC00470000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Medicine& Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.