Organization Active NPI

Metuchen Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Metuchen, NJ
National Provider Identifier
1689019754
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
38MC00266200 Issued in NJ
Legal business name
METUCHEN PHYSICAL THERAPY LLC
Practice address
15 Amboy Ave
Metuchen, NJ 08840-2518
Phone
(732) 548-2034
Fax
(732) 548-6212
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Dr. Edward Kalinowski, D.C.NPI 1164640595
Title
Owner
Phone
(732) 548-2034

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 Therapy Clinic/Center 261QP2000X 38MC00266200 NJ Primary

Addresses

Primary practice location

15 Amboy Ave
Metuchen, NJ 08840-2518

Mailing address

15 Amboy Ave
Metuchen, NJ 08840-2518
Phone (732) 548-2034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181105000592 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3173876372 Receives reassigned benefits from 3 practitioners
Practice locations: Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

15 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-2001

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1689019754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMBOY AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402518",
            "telephone_number": "732-548-2034",
            "fax_number": "732-548-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AMBOY AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402518",
            "telephone_number": "732-548-2034",
            "fax_number": "732-548-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METUCHEN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "KALINOWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-548-2034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "38MC00266200",
            "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 May 2, 2013; 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.