Organization Active NPI

Ace Physical Therapy and Wellness Center, Inc.

  • Physical Therapy Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1477853547
Registry record updated Oct 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00610400 Issued in NJ
Legal business name
ACE PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Practice address
171 Elmora Ave
Elizabeth, NJ 07202-1169
Phone
(908) 820-0600
Fax
(908) 820-0601
NPI assigned
Oct 23, 2010
Last updated
Oct 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2010

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

Authorized official

Name
Mr. Jose Ubaldo Rigor, PT, DPTNPI 1922308097
Title
President
Phone
(908) 820-0600

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 Therapy Clinic/Center 261QP2000X 40QA00610400 NJ Primary

Addresses

Primary practice location

171 Elmora Ave
Elizabeth, NJ 07202-1169

Mailing address

171 Elmora Ave
Elizabeth, NJ 07202-1169
Phone (908) 820-0600

Other identifiers 1

IdentifierTypeStateIssuer
R2594108408652OtherNJNEW JERSEY STATE DRIVER'S LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110331000936 NJ Part B Supplier - Clinic/Group Practice 4587847355 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabeth, NJ

National Provider Directory

National Provider Directory

Locations

520 Westfield Ave
Ste 204
Elizabeth, NJ 07208
Phone (908) 820-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287792000000",
    "number": "1477853547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021169",
            "telephone_number": "908-820-0600",
            "fax_number": "908-820-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021169",
            "telephone_number": "908-820-0600",
            "fax_number": "908-820-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE PHYSICAL THERAPY AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-23",
        "last_updated": "2010-10-23",
        "status": "A",
        "authorized_official_last_name": "RIGOR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "UBALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-820-0600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00610400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE DRIVER'S LICENSE",
            "identifier": "R2594108408652",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2010; 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.