Organization Active NPI

Complete Physical Rehabilitation and Diagnostics

  • Physical Therapy Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1124610795
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COMPLETE PHYSICAL REHABILITATION AND DIAGNOSTICS
Practice address
701 Newark Ave Ste 212
Elizabeth, NJ 07208-3560
Phone
(908) 527-6001
Fax
(908) 527-6634
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. James Pumarada, DPTNPI 1760539605
Title
President
Phone
(908) 591-2474

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

701 Newark Ave Ste 212
Elizabeth, NJ 07208-3560

Mailing address

240 Washington Ave
Kenilworth, NJ 07033-1132
Phone (908) 591-2474

Other practice location 1

75 Montgomery St Fl 501
Jersey City, NJ 07302-3726
Phone (201) 433-6001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1124610795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WASHINGTON AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331132",
            "telephone_number": "908-591-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NEWARK AVE STE 212",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083560",
            "telephone_number": "908-527-6001",
            "fax_number": "908-527-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Montgomery St Fl 501",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023726",
            "country_code": "US",
            "telephone_number": "201-433-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE PHYSICAL REHABILITATION AND DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "PUMARADA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-591-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.