Organization Active NPI

Osteopathic Rehab Associates PC

  • Physical Medicine & Rehabilitation Physician
  • Jersey City, NJ
National Provider Identifier
1144952029
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
OSTEOPATHIC REHAB ASSOCIATES PC
Practice address
282 Saint Pauls Ave
Jersey City, NJ 07306-5085
Phone
(201) 422-2556
Fax
(866) 265-3540
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Dr. Manish B Patel, DO
Title
Ceo/Medical Director
Phone
(551) 655-0953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

282 Saint Pauls Ave
Jersey City, NJ 07306-5085

Mailing address

282 Saint Pauls Ave
Jersey City, NJ 07306-5085
Phone (201) 422-2556

Other practice location 1

155 40th St
Irvington, NJ 07111-1184
Phone (201) 422-2556

Other identifiers 1

IdentifierTypeStateIssuer
0450747054OtherNJNJ DEPARTMENT OF THE TREASURY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://sixthboroughmedical.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1144952029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 SAINT PAULS AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065085",
            "telephone_number": "201-422-2556",
            "fax_number": "866-265-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 SAINT PAULS AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065085",
            "telephone_number": "201-422-2556",
            "fax_number": "866-265-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 40th St",
            "address_purpose": "LOCATION",
            "city": "Irvington",
            "state": "NJ",
            "postal_code": "071111184",
            "country_code": "US",
            "telephone_number": "201-422-2556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSTEOPATHIC REHAB ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "551-655-0953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DEPARTMENT OF THE TREASURY",
            "identifier": "0450747054",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://sixthboroughmedical.com",
            "affiliation": "N",
            "address_1": "282 Saint Pauls Ave",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073065085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.