Total Health Physical Medicine & Rehabilitation Center LLC
Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Florham Park, NJ
NPI 1679633671 · NPPES record last updated Aug 6, 2010
Key facts
- NPI
- 1679633671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- Legal business name
- TOTAL HEALTH PHYSICAL MEDICINE & REHABILITATION CENTER LLC
- Practice address
- 171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764 - Phone
- (973) 377-6327
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael George Carbone
- Title
- President
- Phone
- (973) 377-6327
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 2
Practitioners 28
-
Kelly Beshaw, DC
-
Eric R Franchino, DC
-
Janet Batingana Magracia, P.T.
-
David Paul Bogart, D.C
-
Caroline Alexa Brawley, OTR/L
-
Brandon Sean Coveney, DPT
-
Jamie Coveney, DPT
-
Vijaya R Dasika, M.D.
-
Lilibeth Dy Gaerlan, P.T.
-
Brian Daniel Kennedy, D.P.T
-
Glenn C Mellusi, D.C.
-
Rose Olivia Mullaghy, OTR/L
-
Anika Paul, DPT
-
Melissa Miao, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2030347 | Total Health Physical Medicine & Rehab Center,LLC | Certificate of waiver | Sep 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040723000112 | NJ | Part B Supplier - Clinic/Group Practice | 9638159270 |
Receives reassigned benefits from 25 practitioners 2 other NPIs on this enrollment Practice locations: Berkeley Heights, NJ; Florham Park, NJ |
| O20100930024238 | NJ | DME Supplier - Physician - General Practice |
9638159270 | Practice locations: Florham Park, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | |||
| Neurology Chiropractor |
111NN0400X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | Yes | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician |
2081S0010X | |||
| Pain Medicine (Psychiatry & Neurology) Physician |
2084P2900X | |||
| Sports Medicine (Psychiatry & Neurology) Physician |
2084S0010X | |||
| Pain Medicine Physician |
208VP0000X | |||
| Interventional Pain Medicine Physician |
208VP0014X | |||
| Sports Medicine Podiatrist |
213ES0000X | |||
| Physical Therapist |
225100000X | |||
| Physical Therapy Assistant |
225200000X | |||
| Massage Therapist |
225700000X |
Addresses
Primary practice location
171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Mailing address
171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Phone (973) 377-6327
Other providers in Florham Park, NJ
- The Villa at Florham Park Inc. Al
- Elizabeth Thel
- Joyce Rose Thomas
- Jenna Landrigan Tongring
- Alexandra Jahaira Tori
- Michele K Toth
- Lisa J Traiger
- Brianna Tramontano Pennington
- Travel Heath Consultants, LLC
- Treatment Dynamics
All providers in Florham Park, NJ · Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.