Active NPI
Irm Choudary
- Physical Therapy Clinic/Center
- Old Bridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA02159400
- Practice address
- 254 Texas Rd
Old Bridge, NJ 08857-4008 - Phone
- (732) 561-3402
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 40QA02159400 | NJ | Primary |
Addresses
Primary practice location
254 Texas Rd
Old Bridge, NJ 08857-4008
Mailing address
4 Kent CT
Princeton, NJ 08540-6116
Phone (917) 930-0373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 S Kinderkamack Rd
Montvale, NJ 07645-2112
Phone (201) 573-4969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051757 | NY | MD | Pharmacist |
| 40QA02159400 | NJ | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jag-One Physical Therapy, LLC | Physical Therapy | Current | Accepting new patients |
| Ivyrehab Network Inc. | Current | Accepting new patients | |
| Ivyrehab Network Inc | Current | Accepting new patients | |
| Ivyrehab Network, Inc. | Current | Accepting new patients | |
| RB Physical and Occupational Therapy PLLC | Current | Accepting new patients |
Locations
981 US Highway 22
Bridgewater, NJ 08807
Phone (908) 231-0511
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
15 S Kinderkamack Rd
Montvale, NJ 07645
Phone (201) 573-4969
254 Texas Rd
Old Bridge, NJ 08857
Phone (732) 359-2691
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
704 Executive Blvd
Ste H
Valley Cottage, NY 10989
Phone (845) 268-7800
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1154023240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 KENT CT",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406116",
"telephone_number": "917-930-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 TEXAS RD",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088574008",
"telephone_number": "732-561-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDARY",
"first_name": "IRM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "40QA02159400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.