Organization Active NPI

Ultracare Home Therapy Services, Inc.

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1255357950
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00731700 Issued in NJ
Legal business name
ULTRACARE HOME THERAPY SERVICES, INC.
Practice address
390 Bennetts LN
Somerset, NJ 08873-7707
Phone
(732) 545-2222
Fax
(732) 568-0663
NPI assigned
Jul 14, 2006
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Diagelia Nervez, PTNPI 1366468076
Title
President
Phone
(732) 545-2222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00731700 NJ Primary

Addresses

Primary practice location

390 Bennetts LN
Somerset, NJ 08873-7707

Mailing address

PO Box 5703
Somerset, NJ 08875-5703
Phone (732) 545-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060908000124 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264436195 Receives reassigned benefits from 7 practitioners
Practice locations: Somerset, NJ; Woodbridge, NJ

National Provider Directory

National Provider Directory

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1255357950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5703",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088755703",
            "telephone_number": "732-545-2222",
            "fax_number": "732-568-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BENNETTS LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737707",
            "telephone_number": "732-545-2222",
            "fax_number": "732-568-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE HOME THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "NERVEZ",
        "authorized_official_first_name": "DIAGELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-545-2222",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00731700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.