NPIMap

Organization Active NPI

PMK Rehab,LLC

  • Rehabilitation Hospital Unit
  • Edison, NJ
National Provider Identifier
1376721761
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
40QA00963100 Issued in NJ
Legal business name
PMK REHAB,LLC
Practice address
30 Frost Ave E
Edison, NJ 08820-3245
Phone
(732) 549-0743
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Manisha KhandelwalNPI 1053599019
Title
Physical Therapist
Phone
(732) 423-9094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 40QA00963100 NJ Primary

Addresses

Primary practice location

30 Frost Ave E
Edison, NJ 08820-3245

Mailing address

30 Frost Ave E
Edison, NJ 08820-3245
Phone (732) 549-0743

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1376721761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FROST AVE E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203245",
            "telephone_number": "732-549-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FROST AVE E",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203245",
            "telephone_number": "732-549-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMK REHAB,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "KHANDELWAL",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-423-9094"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NJ",
            "license": "40QA00963100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.