Organization Active NPI

Pelvic Health Inc

  • Physical Therapy Clinic/Center
  • Madison, NJ
National Provider Identifier
1205578705
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PELVIC HEALTH INC
Practice address
78 Main St Ste 3
Madison, NJ 07940-1861
Phone
(973) 207-9798
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Miss Zarina S Vitebsky, DPT, MSPTNPI 1649603515
Title
Owner
Phone
(973) 207-9798

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

78 Main St Ste 3
Madison, NJ 07940-1861

Mailing address

78 Main St Ste 3
Madison, NJ 07940-1861
Phone (973) 207-9798

Other names 1

  • Pelvic Health NJ Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220601001662 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931587003 Receives reassigned benefits from 6 practitioners
Practice locations: Madison, NJ

National Provider Directory

National Provider Directory

Locations

78 Main St
Ste 3
Madison, NJ 07940
Phone (908) 443-9880

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1205578705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MAIN ST STE 3",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401861",
            "telephone_number": "973-207-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN ST STE 3",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401861",
            "telephone_number": "973-207-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "VITEBSKY",
        "authorized_official_first_name": "ZARINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-207-9798",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPT, MSPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelvic Health NJ",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.