Organization Active NPI

First Choice Rehabilitation and Consulting Services ,LLC

  • Rehabilitation Clinic/Center
  • Old Bridge, NJ
National Provider Identifier
1548610678
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FIRST CHOICE REHABILITATION AND CONSULTING SERVICES ,LLC
Practice address
6 Reagan St
Old Bridge, NJ 08857-3933
Phone
(732) 801-6651
Fax
(732) 862-1274
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Bhavna Shah, OTRNPI 1881837938
Title
Owner
Phone
(732) 801-6651

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

6 Reagan St
Old Bridge, NJ 08857-3933

Mailing address

6 Reagan St
Old Bridge, NJ 08857-3933
Phone (732) 801-6651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171121003165 NJ Part B Supplier - Clinic/Group Practice 7810254133 Receives reassigned benefits from 2 practitioners
Practice locations: Matawan, NJ; Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

272 Hobart St
#A
Perth Amboy, NJ 08861
Phone (908) 912-4561

272A Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-9333

Practitioners & affiliated clinicians

Practitioners 2

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": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1548610678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 REAGAN ST",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573933",
            "telephone_number": "732-801-6651",
            "fax_number": "732-862-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 REAGAN ST",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573933",
            "telephone_number": "732-801-6651",
            "fax_number": "732-862-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE REHABILITATION AND CONSULTING SERVICES ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-801-6651",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.