Individual provider Active NPI

Edmund Benaojan

  • Physical Therapist
  • Whippany, NJ
National Provider Identifier
1497022867
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01437500 Issued in NJ
Practice address
905 State Route 10
Whippany, NJ 07981-1181
Phone
(914) 631-9020
Fax
(914) 631-9028
NPI assigned
Nov 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034179 NY
Physical Therapist 225100000X 40QA01437500 NJ Primary

Addresses

Primary practice location

905 State Route 10
Whippany, NJ 07981-1181

Mailing address

501 5TH Ave
Suite 1204
New York, NY 10017-6107
Phone (646) 998-8128

Other practice location 1

501 5th Ave
Suite 1204
New York, NY 10017-6107
Phone (646) 998-8128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000243 NJ Practitioner - Physical Therapist in Private Practice 5890951354 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01437500NJMDPhysical Therapist
034179NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Pain & Spine Institute LLC CurrentSince Jan 1, 2025 Accepting new patients
Dr. Philip Delli Santi, P.C. Physical Therapist CurrentSince Jun 8, 2023 Accepting new patients
Prime Rehabilitation Services, Inc. Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist PastSince Feb 26, 2023 Accepting new patients
Major Adjustments, Inc Physical Therapist PastSince Mar 20, 1997 Accepting new patients
Interventional Pain Management & Rehab. PC. Past Accepting new patients

Locations

1921 Oak Tree Rd
Ste 104
Edison, NJ 08820

1255 Whitehorse Mercerville Rd
Ste 510
Hamilton, NJ 08619
Phone (732) 402-4300

41-51 Wilson Ave
Ste 1-C
Newark, NJ 07105
Phone (973) 344-4848

905 State Route 10
Ste 1
Whippany, NJ 07981
Phone (973) 929-2729

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1497022867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 5TH AVE",
            "address_2": "SUITE 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176107",
            "telephone_number": "646-998-8128",
            "fax_number": "646-998-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 STATE ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811181",
            "telephone_number": "914-631-9020",
            "fax_number": "914-631-9028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 5th Ave",
            "address_2": "Suite 1204",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176107",
            "country_code": "US",
            "telephone_number": "646-998-8128",
            "fax_number": "646-998-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAOJAN",
        "first_name": "EDMUND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034179",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01437500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.