Kipnis Orthopaedic Rehab of Secaucus LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00411700 Issued in NJ

Legal business name

KIPNIS ORTHOPAEDIC REHAB OF SECAUCUS LLC

Practice address

150 Flanagan Way
Secaucus, NJ 07094-3433

Phone

(201) 319-0010

Fax

(201) 319-0349

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ilena Kipnis, PT

Title

Owner

Phone

(201) 319-0010

Specialties & licenses 1

Addresses

Other names 1

• Kipnis Rehab of Secaucus LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D. Ryan, P.T.

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1316049612
  NPD (past)
• Eliahu Landman, PA

  • Anesthesiologist Assistant
  • Atlanta, GA
  • NPI 1699908525
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1265484331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FLANAGAN WAY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943433",
            "telephone_number": "201-319-0010",
            "fax_number": "201-319-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FLANAGAN WAY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943433",
            "telephone_number": "201-319-0010",
            "fax_number": "201-319-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPNIS ORTHOPAEDIC REHAB OF SECAUCUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "KIPNIS",
        "authorized_official_first_name": "ILENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-319-0010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00411700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kipnis Rehab of Secaucus LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Djavlon A Khakimov, DPM
• Ghassan Khani, M.D.
• Sonu Khatri
• Tamara Khmelnitsky, FNP
• Lucy Kim
• Kipnis Physical Therapy and Sports Medicine
• Avani Manasa Kolla Patel, MD
• Dani Korya, M.D.
• Poonam Kothari, MD
• Vinit Kothekar

• Physical Therapist in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.