Individual provider Active NPI

Esmat Mohammad El Halim, PT

  • Specialist
  • Jersey City, NJ
National Provider Identifier
1417151622
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
QA3103 Issued in NJ
Practice address
1755 John F Kennedy Blvd
Jersey City, NJ 07305-1900
Phone
(201) 332-9988
Fax
(201) 332-4552
NPI assigned
Jun 12, 2007
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NJ
Specialist 174400000X QA3103 NJ Primary
Specialist 174400000X NU

Addresses

Primary practice location

1755 John F Kennedy Blvd
Jersey City, NJ 07305-1900

Mailing address

1755 John F Kennedy Blvd
Jersey City, NJ 07305-1900
Phone (201) 332-9988

Other practice location 1

2120 Kennedy Blvd
Jersey City, NJ 07305-1516
Phone (201) 332-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050711000123 NJ Practitioner - Physical Therapist in Private Practice 2466488739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 John F Kennedy Blvd
Jersey City, NJ 07305-1900
Phone (201) 332-9988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA3103NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Rehabilitation LLC Specialist CurrentSince Jun 1, 2005 Accepting new patients
Quality Care Rehabilitation and Wellness LLC Physical Therapy CurrentSince May 26, 2025 Accepting new patients

Organizations & group practices 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1417151622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051900",
            "telephone_number": "201-332-9988",
            "fax_number": "201-332-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051900",
            "telephone_number": "201-332-9988",
            "fax_number": "201-332-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073051516",
            "country_code": "US",
            "telephone_number": "201-332-9988",
            "fax_number": "201-332-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL HALIM",
        "first_name": "ESMAT",
        "middle_name": "MOHAMMAD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "QA3103",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.