Organization Active NPI

Excel Home Rehab LLC

  • Physical Therapist
  • Metuchen, NJ
National Provider Identifier
1639651078
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01228500 Issued in NJ
Legal business name
EXCEL HOME REHAB LLC
Practice address
26 Janci CT
Metuchen, NJ 08840-2914
Phone
(732) 351-9056
Fax
(732) 362-4967
NPI assigned
Sep 2, 2018
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Nina Dulce Pineda Ramos, PTNPI 1710128533
Title
Owner/ Physical Therapist
Phone
(732) 351-9056

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 Therapist 225100000X 40QA01228500 NJ Primary

Addresses

Primary practice location

26 Janci CT
Metuchen, NJ 08840-2914

Mailing address

26 Janci CT
Metuchen, NJ 08840-2914
Phone (732) 351-9056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103002197 NJ Part B Supplier - Clinic/Group Practice 6901230622 Receives reassigned benefits from 2 practitioners
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

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": "1535846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1639651078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 JANCI CT",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402914",
            "telephone_number": "732-351-9056",
            "fax_number": "732-362-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 JANCI CT",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402914",
            "telephone_number": "732-351-9056",
            "fax_number": "732-362-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL HOME REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-02",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "NINA DULCE",
        "authorized_official_middle_name": "PINEDA",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-351-9056",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01228500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.