Active NPI
Esmat Mohammad El Halim, PT
- Specialist
- Jersey City, NJ
National Provider Identifier
1417151622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- QA3103
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| QA3103 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Rehabilitation LLC | Specialist | Current | Accepting new patients |
| Quality Care Rehabilitation and Wellness LLC | Physical Therapy | Current | 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.
-
- Specialist
- Jersey City, NJ
- NPI 1013196203
-
- Physical Therapy Clinic/Center
- Jersey City, NJ
- NPI 1245021344
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.