Individual provider Active NPI

Ifeanyi Anaemejeh

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1396609442
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02386900 Issued in NJ
Practice address
317 Rues LN
East Brunswick, NJ 08816-3755
Phone
(732) 390-8255
NPI assigned
Dec 12, 2025
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02386900 NJ Primary

Addresses

Primary practice location

317 Rues LN
East Brunswick, NJ 08816-3755

Mailing address

759 Dykes Ter # a
Union, NJ 07083-6435
Phone (973) 444-7968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326001757 NJ Practitioner - Physical Therapist in Private Practice 5597240762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Health Performance Institute LLCGroup PAC ID 6800286493, 3 clinicians

Practice addresses (Care Compare)

317 Rues LN
Suite 100
East Brunswick, NJ 08816-3755
Phone (732) 390-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02386900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Health Performance Institute LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

317 Rues Ln
East Brunswick, NJ 08816
Phone (732) 390-4496

317 Rues Ln
#100
East Brunswick, NJ 08816
Phone (732) 390-8255

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1396609442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 DYKES TER # A",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836435",
            "telephone_number": "973-444-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163755",
            "telephone_number": "732-390-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAEMEJEH",
        "first_name": "IFEANYI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02386900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.