Individual provider Active NPI

Craig J. Anmuth, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NJ
National Provider Identifier
1407927478
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MB62172 Issued in NJ
Practice address
61 W. Jimmie Leeds Road
Pomona, NJ 08240-0723
Phone
(609) 748-5380
Fax
(609) 652-8749
NPI assigned
Nov 13, 2006
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MB62172 NJ Primary

Addresses

Primary practice location

61 W. Jimmie Leeds Road
Pomona, NJ 08240-0723

Mailing address

61 W. Jimmie Leeds Road
Pomona, NJ 08240-0723
Phone (609) 748-5380

Other practice location 1

6814 Tilton Rd Ste G
Egg Harbor Twp, NJ 08234-4490
Phone (609) 573-3001

Other identifiers 1

IdentifierTypeStateIssuer
6614400MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000034 NJ Practitioner - Physical Medicine and Rehabilitation 0042237836 Reassigns benefits to 1 organization
Practice locations: Pomona, NJ

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6814 Tilton Rd
Suite G
Egg Harbor Township, NJ 08234-4490
Phone (609) 573-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB62172NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med a Quest Physical Medicine LLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2023 Accepting new patients

Locations

6814 Tilton Rd
Ste G
Egg Hbr Twp, NJ 08234
Phone (609) 573-3001

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1407927478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W. JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400723",
            "telephone_number": "609-748-5380",
            "fax_number": "609-652-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W. JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400723",
            "telephone_number": "609-748-5380",
            "fax_number": "609-652-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6814 Tilton Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Twp",
            "state": "NJ",
            "postal_code": "082344490",
            "country_code": "US",
            "telephone_number": "609-573-3001",
            "fax_number": "609-646-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANMUTH",
        "first_name": "CRAIG",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MB62172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6614400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.