NPIMap

Organization Active NPI

Performance Medical Group of Branchburg LLC

Doing business as Performance Rehabilitation and Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
National Provider Identifier
1336753243
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PERFORMANCE MEDICAL GROUP OF BRANCHBURG LLC
Doing business as
Performance Rehabilitation and Regenerative Medicine
Practice address
454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone
(908) 756-2424
NPI assigned
Sep 8, 2020
Organization subpart
Yes
Parent organization
PERFORMANCE MEDICAL GROUP OF BRANCHBURG LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Ashley Elizabeth Finer
Title
Bom
Phone
(908) 756-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

454 Elizabeth Ave
Somerset, NJ 08873-5111

Mailing address

10 Johnston Dr
Watchung, NJ 07069-4905
Phone (908) 756-2424

Other names 1

  • Performance Rehabilitation and Regenerative Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180725002862 NJ Part B Supplier - Clinic/Group Practice 9234486945 Receives reassigned benefits from 55 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Branchburg, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Performance Med GRP Branch

Locations

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1336753243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOHNSTON DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070694905",
            "telephone_number": "908-756-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ELIZABETH AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735111",
            "telephone_number": "908-756-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICAL GROUP OF BRANCHBURG LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFORMANCE MEDICAL GROUP OF BRANCHBURG LLC",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "FINER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BOM",
        "authorized_official_telephone_number": "908-756-2424"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehabilitation and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2020; 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.