Jeremy A Pimentel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02126000 Issued in NJ

Practice address

870 Boulevard
Kenilworth, NJ 07033-1754

Phone

(908) 245-5566

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metropolitan Spine Institute Inc

  • Physical Therapy Clinic/Center
  • Chatham, NJ
  • NPI 1538106083

  Physical Therapist

  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1477276277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 AVENUE E FL 2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024837",
            "telephone_number": "201-471-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331754",
            "telephone_number": "908-245-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "JEREMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02126000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa C Pagano, LPC
• Pareshkumar Patel
• Rashmitaben Patel
• Perfect Vision
• Ashley Nicole Pianko, APN
• Meghan Kathleen Quinlan-Ilich, LPC
• Radiant ABA LLC
• Vasiliki Rallatos-Drake, PT, DPT
• Michael Rallatos, DPM
• RDX Bioscience, Inc

• Physical Therapist in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.