Individual provider Active NPI

Arlene A Kulessa, PT

  • Skilled Nursing Facility
  • Lakewood, NJ
National Provider Identifier
1598089146
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
40QA00508300 Issued in NJ
Practice address
485 River Ave
Lakewood, NJ 08701-4720
Phone
(732) 364-7100
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 40QA00508300 NJ Primary

Addresses

Primary practice location

485 River Ave
Lakewood, NJ 08701-4720

Mailing address

3433 Bergen Ave
Toms River, NJ 08753-4806
Phone (732) 779-9011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425000432 NJ Practitioner - Physical Therapist in Private Practice 7517220601 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00508300NJMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Rehabilitation Services, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Vna Health Group of New Jersey, LLC Current Accepting new patients
Coastal Home Rehabilitation, LLC CurrentSince Jan 1, 2025 Accepting new patients
At Home by Enhance Therapies LLC CurrentSince May 1, 2024 Accepting new patients
Vna Health Group of New Jersey, LLC CurrentSince Jan 1, 2020 Accepting new patients
Ultima Rehab-NJ LLC Past Accepting new patients

Locations

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

1433 Hooper Ave
Toms River, NJ 08753
Phone (732) 557-2055

1579 Old Freehold Rd
Toms River, NJ 08755
Phone (732) 349-0988

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

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1598089146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BERGEN AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534806",
            "telephone_number": "732-779-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014720",
            "telephone_number": "732-364-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULESSA",
        "first_name": "ARLENE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "40QA00508300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.