Active NPI
Kinetic Medical Group, LLC
- Physical Therapist
- Ramsey, NJ
National Provider Identifier
1255014726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KINETIC MEDICAL GROUP, LLC
- Practice address
- 171 Lake St
Ramsey, NJ 07446-2089 - Phone
- (973) 414-3448
- NPI assigned
- Aug 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael Ramos
- Title
- Sr. Director of Revenue Cycle
- Phone
- (973) 414-3448
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Acupuncturist | 171100000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
171 Lake St
Ramsey, NJ 07446-2089
Mailing address
171 Lake St
Ramsey, NJ 07446-2089
Phone (973) 414-3448
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1255014726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 LAKE ST",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462089",
"telephone_number": "973-414-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 LAKE ST",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462089",
"telephone_number": "973-414-3448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINETIC MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "SR. DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "973-414-3448"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ramsey, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.