Organization Active NPI

Ideal Health Care LLC

  • Physical Therapy Clinic/Center
  • Edison, NJ
National Provider Identifier
1215446489
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
IDEAL HEALTH CARE LLC
Practice address
60 Lincoln Hwy Unit B
Edison, NJ 08820-3908
Phone
(732) 662-5700
Fax
(732) 662-5699
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Rakesh Jain
Title
Ceo
Phone
(201) 774-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

60 Lincoln Hwy Unit B
Edison, NJ 08820-3908

Mailing address

44 Lincoln Hwy Ste 200D
Edison, NJ 08820-3978
Phone (732) 662-5700

Other identifiers 1

IdentifierTypeStateIssuer
3218601MedicaidNJ

Other names 1

  • MOBILITY CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

1675 Mesquite Ave
Ste A
Lake Havasu City, AZ 86403
Phone (928) 680-4089

60 Lincoln Hwy
Edison, NJ 08820
Phone (973) 762-4400

44 State Route 27
Edison, NJ 08820
Phone (732) 548-0122

60 Lincoln Hwy
Unit B
Edison, NJ 08820
Phone (732) 662-5700

171 Elmora Ave
Elizabeth, NJ 07202
Phone (908) 289-4227

2446 Church Rd
Ste 1
Toms River, NJ 08753
Phone (732) 319-7765

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1215446489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LINCOLN HWY STE 200D",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203978",
            "telephone_number": "732-662-5700",
            "fax_number": "732-662-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LINCOLN HWY UNIT B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203908",
            "telephone_number": "732-662-5700",
            "fax_number": "732-662-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-774-1085"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3218601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBILITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOBILITY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.