Jeevan Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01478100 Issued in NJ

Legal business name

JEEVAN THERAPY

Practice address

500 Orange St
Suite 2
Newark, NJ 07107-2944

Phone

(845) 596-9031

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jeevan M Mathew, PTNPI 1750620944

Title

Owner

Phone

(845) 596-9031

Specialties & licenses 1

Addresses

Other names 1

• Roseville Physical Therapy & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeevan M Mathew, DPT

  • Physical Therapist
  • Newark, NJ
  • NPI 1750620944
  Medicare reassignment Authorized official
• Austin Thomas Pothen, PT, DPT

  • Physical Therapist
  • Belleville, NJ
  • NPI 1104341445
  Medicare reassignment

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1194195271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "address_2": "SUITE 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072944",
            "telephone_number": "845-596-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "address_2": "SUITE 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072944",
            "telephone_number": "845-596-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEEVAN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JEEVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-596-9031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01478100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseville Physical Therapy & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean-Paul Care and Support LLC
• Emmanuela Jean-Paul
• Marvens Jean
• Nance Jean
• Zariah Jean
• Jefferson Emergency Associates, P.a.
• Gemelia Jeffrey, NP
• Jemmison Corp
• Jemmison Holding Corp
• Cheryl Ann Jemmott, ND, CNM

• Physical Therapy Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.