Organization Active NPI

KB Physiatry LLC

  • Physical Medicine & Rehabilitation Physician
  • Perth Amboy, NJ
National Provider Identifier
1437879749
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KB PHYSIATRY LLC
Practice address
40 New Brunswick Ave Ste 2
Perth Amboy, NJ 08861-5000
Phone
(609) 389-9261
Fax
(732) 631-8262
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Kasim Ali Babar, DONPI 1245894575
Title
Owner
Phone
(732) 725-2332

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

40 New Brunswick Ave Ste 2
Perth Amboy, NJ 08861-5000

Mailing address

40 New Brunswick Ave Ste 2
Perth Amboy, NJ 08861-5000
Phone (609) 389-9261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230712001069 NJ Part B Supplier - Clinic/Group Practice 9032579842 Receives reassigned benefits from 5 practitioners
Practice locations: Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

40 New Brunswick Ave
Ste 2
Perth Amboy, NJ 08861
Phone (609) 389-9261

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1437879749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NEW BRUNSWICK AVE STE 2",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615000",
            "telephone_number": "609-389-9261",
            "fax_number": "732-631-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NEW BRUNSWICK AVE STE 2",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615000",
            "telephone_number": "609-389-9261",
            "fax_number": "732-631-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB PHYSIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "BABAR",
        "authorized_official_first_name": "KASIM",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-725-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.