Organization Active NPI

Jel Physical Therapy, PC

  • Physical Therapist
  • Carlstadt, NJ
National Provider Identifier
1689291551
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JEL PHYSICAL THERAPY, PC
Doing business as
Rehab KinetiQs
Practice address
301 Hoboken Rd Ste 3
Carlstadt, NJ 07072-1044
Phone
(732) 299-0973
NPI assigned
Jun 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Dr. Jayson Iporac Ceribo, PT, DPTNPI 1841345329
Title
Physical Therapist
Phone
(732) 299-0973

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

301 Hoboken Rd Ste 3
Carlstadt, NJ 07072-1044

Mailing address

124 Alden St
Wallington, NJ 07057-1434

Other names 1

  • Rehab KinetiQs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826004003 NJ Part B Supplier - Clinic/Group Practice 4183041833 Receives reassigned benefits from 1 practitioner
Practice locations: Carlstadt, NJ

National Provider Directory

National Provider Directory

Locations

301 Hoboken Rd
Ste 1
Carlstadt, NJ 07072
Phone (201) 804-1000

301 Hoboken Rd
Ste 3
Carlstadt, NJ 07072
Phone (732) 299-0973

Practitioners & affiliated clinicians

Practitioners 1

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": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1689291551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ALDEN ST",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOBOKEN RD STE 3",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721044",
            "telephone_number": "732-299-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEL PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "CERIBO",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "IPORAC",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-299-0973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab KinetiQs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlstadt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.