NPIMap

Organization Active NPI

Core PT LLC

Doing business as Gindi Home Rehab

  • Physical Therapy Clinic/Center
  • Lakewood, NJ
National Provider Identifier
1699213470
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01714600 Issued in NJ
Legal business name
CORE PT LLC
Doing business as
Gindi Home Rehab
Practice address
1776 Avenue of the States Ste 301
Lakewood, NJ 08701-4592
Phone
(732) 660-5422
Fax
(732) 362-4497
NPI assigned
Feb 1, 2017
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
David GindiNPI 1538603998
Title
Physical Therapist
Phone
(732) 660-5422

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 40QA01714600 NJ Primary

Addresses

Primary practice location

1776 Avenue of the States Ste 301
Lakewood, NJ 08701-4592

Mailing address

11 Elinore Ave
Long Branch, NJ 07740-4824
Phone (732) 660-6422

Other practice location 1

11 Elinore Ave
Long Branch, NJ 07740-4824
Phone (732) 660-6422

Other names 1

  • Gindi Home Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629001703 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729362132 Receives reassigned benefits from 17 practitioners
Practice locations: Oakhurst, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1699213470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ELINORE AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077404824",
            "telephone_number": "732-660-6422",
            "fax_number": "732-362-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 AVENUE OF THE STATES STE 301",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014592",
            "telephone_number": "732-660-5422",
            "fax_number": "732-362-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Elinore Ave",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077404824",
            "country_code": "US",
            "telephone_number": "732-660-6422",
            "fax_number": "732-362-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GINDI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-660-5422"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01714600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gindi Home Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.