Organization Active NPI

Asclepion Physical Therapy & Wellness LLC

  • Physical Therapist
  • Livingston, NJ
National Provider Identifier
1124066626
Registry record updated Sep 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01004600 Issued in NJ
Legal business name
ASCLEPION PHYSICAL THERAPY & WELLNESS LLC
Practice address
22 Old Short Hills Rd
Suite 102
Livingston, NJ 07039-5604
Phone
(973) 994-6535
Fax
(973) 994-6536
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2007

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

Authorized official

Name
Vladimir Stashchyshyn, MSPT
Title
President
Phone
(973) 994-6535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01004600 NJ Primary

Addresses

Primary practice location

22 Old Short Hills Rd
Suite 102
Livingston, NJ 07039-5604

Mailing address

22 Old Short Hills Rd
Suite 102
Livingston, NJ 07039-5604
Phone (973) 994-6535

National Provider Directory

National Provider Directory

Locations

145 Talmadge Rd
Ste 13
Edison, NJ 08817

Practitioners & affiliated clinicians

Practitioners 1

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189296000000",
    "number": "1124066626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 102",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 102",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-6535",
            "fax_number": "973-994-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCLEPION PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-09-09",
        "status": "A",
        "authorized_official_last_name": "STASHCHYSHYN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-994-6535",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01004600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; 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.