Organization Active NPI

Jireh Healthcare LLC

  • Physical Therapist
  • West Orange, NJ
National Provider Identifier
1598263154
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JIREH HEALTHCARE LLC
Practice address
18 Summit St Apt 230
West Orange, NJ 07052-1504
Phone
(929) 333-0882
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Whilma Maniti, PTNPI 1518989441
Title
PT, Owner
Phone
(929) 333-0882

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
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

18 Summit St Apt 230
West Orange, NJ 07052-1504

Mailing address

18 Summit St Apt 230
West Orange, NJ 07052-1504
Phone (929) 333-0882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180809005962 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587912324 Receives reassigned benefits from 4 practitioners
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1598263154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SUMMIT ST APT 230",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521504",
            "telephone_number": "929-333-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SUMMIT ST APT 230",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521504",
            "telephone_number": "929-333-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MANITI",
        "authorized_official_first_name": "WHILMA",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "929-333-0882",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.