NPIMap

Organization Active NPI

Community Hospital Group Inc

Doing business as Jri Physical Medicine

  • Specialist
  • Edison, NJ
National Provider Identifier
1225251754
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22293 Issued in NJ
Legal business name
COMMUNITY HOSPITAL GROUP INC
Doing business as
Jri Physical Medicine
Practice address
80 James St
4TH Floor
Edison, NJ 08820-3938
Phone
(732) 632-1571
Fax
(732) 632-1644
NPI assigned
Apr 11, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Mr. Richard C Smith
Title
Cfo
Phone
(732) 321-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 22293 NJ Primary

Addresses

Primary practice location

80 James St
4TH Floor
Edison, NJ 08820-3938

Mailing address

80 James St
4TH Floor
Edison, NJ 08820-3938
Phone (732) 632-1571

Other names 1

  • JRI PHYSICAL MEDICINE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000589 NJ Part B Supplier - Clinic/Group Practice 3971415209 Receives reassigned benefits from 170 practitioners
3 other NPIs on this enrollment
Practice locations: Edison, NJ; Elizabeth, NJ; Hackensack, NJ; Old Bridge, NJ; Rahway, NJ; Red Bank, NJ; Wayne, NJ; Brick, NJ

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
JFK Cardiology

Practitioners & affiliated clinicians

Practitioners 193

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.

View all 193

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1225251754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-632-1571",
            "fax_number": "732-632-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-632-1571",
            "fax_number": "732-632-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL GROUP INC",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-321-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "22293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JRI PHYSICAL MEDICINE",
            "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 Jul 20, 2007; 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.