Active NPI
Jel Physical Therapy, PC
- Physical Therapist
- Carlstadt, NJ
National Provider Identifier
1689291551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayson Iporac Ceribo, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- East Brunswick, NJ
- NPI 1841345329
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.