Jermin Elbadry, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01902500 Issued in NJ

Practice address

4801 Broadway
Union City, NJ 07087-6516

Phone

(201) 751-5000

NPI assigned

Nov 20, 2019

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empower Physical Therapy and Wellness Center, Inc

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1407687890
  Medicare reassignment NPD Authorized official
• East Coast Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Kenilworth, NJ
  • NPI 1417228917

  Physical Therapist

  Medicare reassignment NPD
• Total Care Physical Therapy & Sports Medicine PC

  • Sports Physical Therapist
  • Union City, NJ
  • NPI 1538535869
  Medicare reassignment NPD

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1346886819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070029205",
            "telephone_number": "201-790-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BROADWAY",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876516",
            "telephone_number": "201-751-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBADRY",
        "first_name": "JERMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01902500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Dutkiewicz, RPH
• Dynamic Care Physical Therapy & Sports Medicine Inc
• Dynamic Physical Therapy & Sports Clinic
• East Hudson Medical Care of New Jersey, LLC
• Ekta Ishan Corp (Ez Smiles Family Dental)
• Elderkare Medical Supplies LLC.
• Elevate & Evolve Wellness Center LLC
• Nivin Elias, M.D.
• Sameh Elias, M.D.
• Sarah Elkamhawy

• Physical Therapist in Union City, NJ
• Providers in Union City, 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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.