Individual provider Active NPI

Suresh Babu, PT, DPT, MS

  • Orthopedic Physical Therapist
  • Kendall Park, NJ
National Provider Identifier
1659434538
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01115800 Issued in NJ
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

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
180947DBDOtherNJMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000521 NJ Practitioner - Physical Therapist in Private Practice 0345371183 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
007344CTMDClinical Social Worker
40QA01115800NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy Center Orthopedic CurrentSince Jan 11, 2025 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Orthopedic CurrentSince Jun 6, 2017 Accepting new patients
Innovative Jogo Physical Therapy Orthopedic CurrentSince Nov 15, 2023 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Orthopedic CurrentSince Jan 1, 2012 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.

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.

Verify at the official NPI Registry.