Organization Active NPI

Perform and Recover

  • Clinic/Center
  • Eatontown, NJ
National Provider Identifier
1225678733
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PERFORM AND RECOVER
Practice address
749 Hope Rd
Eatontown, NJ 07724-1432
Phone
(732) 455-2545
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Nicole Tukdarian, DC
Title
Owner
Phone
(732) 455-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

749 Hope Rd
Eatontown, NJ 07724-1432

Mailing address

919 Raymere Ave
Ocean, NJ 07712-4111

National Provider Directory

National Provider Directory

Locations

749 Hope Rd
Eatontown, NJ 07724
Phone (732) 455-2545

Practitioners & affiliated clinicians

Practitioners 1

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": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1225678733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 RAYMERE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 HOPE RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241432",
            "telephone_number": "732-455-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORM AND RECOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "TUKDARIAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-455-2545",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.