Individual provider Active NPI

Jan Giselle Fabian Payabyab, DPT

  • Physical Therapist
  • Somers Point, NJ
National Provider Identifier
1609640010
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02221300 Issued in NJ
Practice address
24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone
(609) 927-5463
Fax
(609) 927-3724
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02221300 NJ Primary

Addresses

Primary practice location

24 Macarthur Blvd
Somers Point, NJ 08244-1776

Mailing address

24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-5463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121001759 NJ Practitioner - Physical Therapist in Private Practice 3971951534 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

45 S New York Rd
Galloway, NJ 08205-3805
Phone (609) 770-4522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02221300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc. Current Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist CurrentSince Oct 28, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 28, 2023 Accepting new patients
Orthonj LLC CurrentSince Nov 13, 2023 Accepting new patients
Rehabclinics SPT Inc CurrentSince Oct 28, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Oct 28, 2023 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Orthonj LLC CurrentSince Nov 13, 2023 Accepting new patients
Rehabclinics SPT Inc PastSince Oct 28, 2023 Accepting new patients

Locations

540 Route 130
Ste G1
East Windsor, NJ 08520
Phone (609) 301-8489

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

45 S New York Rd
Galloway, NJ 08205
Phone (609) 404-3950

601 New Rd
Linwood, NJ 08221
Phone (609) 788-5001

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

19 Mule Rd
Toms River, NJ 08755
Phone (732) 240-1400

Organizations & group practices 11

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1609640010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-5463",
            "fax_number": "609-927-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MACARTHUR BLVD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441776",
            "telephone_number": "609-927-5463",
            "fax_number": "609-927-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYABYAB",
        "first_name": "JAN GISELLE",
        "middle_name": "FABIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02221300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.