NPIMap

Organization Active NPI

Dynamic Rehab Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Somerset, NJ
National Provider Identifier
1184869034
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01274700 Issued in NJ
Legal business name
DYNAMIC REHAB PHYSICAL THERAPY PC
Practice address
18 Worlds Fair Dr
Somerset, NJ 08873-1346
Phone
(732) 469-5300
Fax
(800) 917-7162
NPI assigned
Dec 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Robert Aranbaev, D.P.TNPI 1659556694
Title
Physical Therapy
Phone
(917) 576-7789

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 40QA01274700 NJ Primary

Addresses

Primary practice location

18 Worlds Fair Dr
Somerset, NJ 08873-1346

Mailing address

14119 Hoover Ave
Briarwood, NY 11435-1109
Phone (917) 576-7789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090210000097 NJ Part B Supplier - Clinic/Group Practice 1658436563 Receives reassigned benefits from 2 practitioners
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1228521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1184869034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 HOOVER AVE",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351109",
            "telephone_number": "917-576-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731346",
            "telephone_number": "732-469-5300",
            "fax_number": "800-917-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-06",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "ARANBAEV",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "917-576-7789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01274700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.