The Center for Physical Medicine and Rehabilitation LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA62353 Issued in NJ

Legal business name

THE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION LLC

Practice address

776 Shrewsbury Ave
Ste. 203
Tinton Falls, NJ 07724-3006

Phone

(732) 219-0333

Fax

(732) 219-6526

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mary Lloyd

Title

Credentialing Coordinator

Phone

(732) 219-6501

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Basilone, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Tinton Falls, NJ
  • NPI 1518995588
  Medicare reassignment Care Compare group NPD
• David Bernard Fox, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Tinton Falls, NJ
  • NPI 1427098631
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588733851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "STE. 203",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-219-0333",
            "fax_number": "732-219-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "STE. 203",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-219-0333",
            "fax_number": "732-219-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "732-219-6501"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA62353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JB CIGNA",
            "identifier": "0778591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JB RR M'CARE",
            "identifier": "P00210688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JB HEALTHNET",
            "identifier": "1K0329",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JB GHI",
            "identifier": "6012036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DF HEALTHNET",
            "identifier": "F12448",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DF GHI",
            "identifier": "2598116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DF AETNA",
            "identifier": "5770149",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JB EMPIRE",
            "identifier": "26Z741",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JB OXFORD",
            "identifier": "P1947080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JB AETNA",
            "identifier": "5218141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DF CIGNA",
            "identifier": "0674631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Arc of Monmouth, Inc.
• The Arc of Monmouth, Inc.
• The Arc of Monmouth, Inc.
• The Arc of Monmouth, Inc.
• The Arc of Monmouth, Inc.
• The Club at Kensington Court
• The Modern Woman
• The TMS Center of New Jersey PC
• The Woods O.R., Inc.
• Thompson Medical and Chiropractic LLC

• Physical Medicine & Rehabilitation Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.