NPIMap

Organization Active NPI

Colonial Village Medical,P.C.

  • Rehabilitation Clinic/Center
  • Edison, NJ
National Provider Identifier
1497958326
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
25MA04182100 Issued in NJ
Legal business name
COLONIAL VILLAGE MEDICAL,P.C.
Practice address
3 State Route 27
Suite 106
Edison, NJ 08820-3963
Phone
(732) 548-7887
Fax
(732) 548-7660
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Dr. Thuong Ledinh, M.D.
Title
Owner
Phone
(732) 548-7887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 25MA04182100 NJ Primary

Addresses

Primary practice location

3 State Route 27
Suite 106
Edison, NJ 08820-3963

Mailing address

PO Box 2505
Edison, NJ 08818-2505
Phone (732) 548-7887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1497958326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2505",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088182505",
            "telephone_number": "732-548-7887",
            "fax_number": "732-548-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STATE ROUTE 27",
            "address_2": "SUITE 106",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203963",
            "telephone_number": "732-548-7887",
            "fax_number": "732-548-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL VILLAGE MEDICAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "LEDINH",
        "authorized_official_first_name": "THUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-548-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "25MA04182100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.