Garden State Physical Therapy & Sports Rehabilitation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GARDEN STATE PHYSICAL THERAPY & SPORTS REHABILITATION

Practice address

436 Route 79
Suite 21
Morganville, NJ 07751-9783

Phone

(732) 617-9000

Fax

(732) 591-1000

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Carducci, D.O.NPI 1497899066

Title

Chiropractic Physician

Phone

(732) 617-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

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.

• Justin Michael Morgan, PT, DPT

  • Physical Therapist
  • Monroe Township, NJ
  • NPI 1205612413
  Medicare reassignment Care Compare group NPD
• Mariam Rizkalla, OTR

  • Occupational Therapist
  • Morganville, NJ
  • NPI 1497638001
  Medicare reassignment Care Compare group NPD
• Chintan Pragnesh Shah, PT,DPT

  • Physical Therapist
  • Lake Como, NJ
  • NPI 1043794407
  Medicare reassignment Care Compare group NPD
• Michael Alexander Carducci, D.C.

  • Chiropractor
  • Brooklyn, NY
  • NPI 1497899066
  NPD (past) Authorized official

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1336692672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 ROUTE 79",
            "address_2": "SUITE 21",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077519783",
            "telephone_number": "732-617-9000",
            "fax_number": "732-591-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ROUTE 79",
            "address_2": "SUITE 21",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077519783",
            "telephone_number": "732-617-9000",
            "fax_number": "732-591-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PHYSICAL THERAPY & SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "CARDUCCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "732-617-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Drew Frisher, DMD
• FSP-Marlboro Licensee, LLC (The Solana Marlboro)
• Galenia Ambulance of Mexico
• Galenia Hospital of Mexico (Med-X Global)
• Kesha Gandhi, PHARMD
• Eric Garfinkel, D.D.S.
• Dara Gasior, PSY.D.
• Kayla Geller, OTR/L
• Ilana Genin, RN, MSN, FNP-BC
• Stacy Samantha Gerstenfeld, M.A., CCC-SLP

• Physical Therapy Clinic/Center in Morganville, NJ
• Providers in Morganville, 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 Aug 3, 2016; 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.