Active NPI
Suresh Babu, PT, DPT, MS
- Orthopedic Physical Therapist
- Kendall Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA01115800
- Practice address
- 3562 State Route 27 Ste 124
Kendall Park, NJ 08824-1062 - Phone
- (732) 853-8177
- Fax
- (732) 853-8169
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA01115800 | NJ | Primary |
Addresses
Primary practice location
3562 State Route 27 Ste 124
Kendall Park, NJ 08824-1062
Mailing address
3562 State Route 27 Ste 124
Kendall Park, NJ 08824-1062
Phone (732) 853-8177
Other practice location 1
10 Jefferson Plz
Suite 100B
Princeton, NJ 08540-9502
Phone (908) 721-1906
Other practice location 2
1199 Amboy Ave Ste F5
Edison, NJ 08837-2552
Phone (732) 853-8177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180947DBD | Other | NJ | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3562 Route 27
Suite 124
Kendall Park, NJ 08824-1062
Phone (732) 317-4105
3562 RT
27 Suite 124
Kendall Park, NJ 08824-1062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007344 | CT | MD | Clinical Social Worker |
| 40QA01115800 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physical Therapy Center | Orthopedic | Current | Accepting new patients |
| Innovative Physical Therapy and Fitness Center Inc | Orthopedic | Current | Accepting new patients |
| Innovative Jogo Physical Therapy | Orthopedic | Current | Accepting new patients |
| Innovative Physical Therapy and Fitness Center Inc | Orthopedic | Current | Accepting new patients |
| Carteret Comprehensive Medical Care,PC | Past | Accepting new patients | |
| Innovative Physical Therapy and Fitness Center Inc | Past | Accepting new patients | |
| Innovative Physical Therapy and Fitness Center Inc | Past | Accepting new patients |
Locations
1199 Amboy Ave
Edison, NJ 08837
Phone (732) 494-0677
1199 Amboy Ave
Ste F5
Edison, NJ 08837
Phone (732) 321-1156
3562 State Route 27
Ste 124
Kendall Park, NJ 08824
Phone (732) 317-4105
4095 US Highway 1
Ste 52
Monmouth Junction, NJ 08852
Phone (732) 317-4105
627 Spotswood Englishtown Rd
Ste 4
Monroe, NJ 08831
Phone (732) 790-8486
2204 State Route 18 N
Old Bridge, NJ 08857
Phone (551) 655-7793
10 Jefferson Plz
Ste 100B
Princeton, NJ 08540
Phone (908) 721-1906
Organizations & group practices 7
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.
-
- Physical Therapy Clinic/Center
- Kendall Park, NJ
- NPI 1740548742
Orthopedic
-
dba Innovative Physical Therapy and Fitness Center
- Physical Therapist
- Monroe, NJ
- NPI 1497562961
Orthopedic
-
- Physical Medicine & Rehabilitation Physician
- Old Bridge, NJ
- NPI 1922870229
Orthopedic
-
- Physical Medicine & Rehabilitation Physician
- Edison, NJ
- NPI 1184205072
Orthopedic
-
dba Edison Comprehensive Medical Care
- Specialist
- Edison, NJ
- NPI 1528140563
-
- Physical Therapy Clinic/Center
- Princeton, NJ
- NPI 1053098269
-
- Physical Therapy Clinic/Center
- South Plainfield, NJ
- NPI 1376291732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1659434538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3562 STATE ROUTE 27 STE 124",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241062",
"telephone_number": "732-853-8177",
"fax_number": "732-853-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3562 STATE ROUTE 27 STE 124",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241062",
"telephone_number": "732-853-8177",
"fax_number": "732-853-8169"
}
],
"practiceLocations": [
{
"address_1": "10 Jefferson Plz",
"address_2": "SUITE 100B",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085409502",
"country_code": "US",
"telephone_number": "908-721-1906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1199 Amboy Ave Ste F5",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088372552",
"country_code": "US",
"telephone_number": "732-853-8177",
"fax_number": "732-853-8169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABU",
"first_name": "SURESH",
"credential": "PT, DPT, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01115800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "180947DBD",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kendall Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.