Elite Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01103700 Issued in NJ

Legal business name

ELITE PERFORMANCE LLC

Practice address

121 N Newport Ave
Ventnor City, NJ 08406-2105

Phone

(908) 419-4202

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Mohamed Nasser, PT

Title

C0-Owner

Phone

(908) 419-4202

Specialties & licenses 1

Addresses

Tax ID family

Elite Performance LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Performance LLC

  • Physical Therapy Clinic/Center
  • Westfield, NJ
  • NPI 1013452176
  NPD tax ID

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1265728539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N NEWPORT AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N NEWPORT AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062105",
            "telephone_number": "908-419-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "C0-OWNER",
        "authorized_official_telephone_number": "908-419-4202",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01103700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Kwa MD, PC
• Maria Julia Deangelislascheid, D.AC.
• Downbeach Chiropractic
• Dr Barbara Stein LLC
• Carly Egrie
• Linda L Faragasso, APN
• Christine V. Ferri, PH.D.
• Foot and Ankle Institute of New Jersey
• Eric Gerner
• Sivanand Grandhi

• Physical Therapy Clinic/Center in Ventnor City, NJ
• Providers in Ventnor City, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.