Active NPI
Jet Adam Gaminde VIII, P.T.
- Geriatric Physical Therapist
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 40QA01401100
- Practice address
- 1070 Clifton Ave
Suite 1a
Clifton, NJ 07013-3619 - Phone
- (973) 246-6565
- NPI assigned
- Aug 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 40QA01401100 | NJ | Primary |
Addresses
Primary practice location
1070 Clifton Ave
Suite 1a
Clifton, NJ 07013-3619
Mailing address
89 Franklin Ave
Apt 3
West Orange, NJ 07052-6047
Phone (786) 380-6803
Other names 1
- Mr. Epifanio Ramos Gaminde
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6725 Ventnor Ave
Suite C
Ventnor City, NJ 08406-2166
Phone (609) 350-6780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01401100 | NJ | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jag-One Physical Therapy, LLC | Geriatrics | Current | Accepting new patients |
| Specialty Medconsultants LLC | Current | Accepting new patients | |
| Holsman Physical and Occupational Therapy PC | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
3860 Bayshore Rd
Ste F
North Cape May, NJ 08204
Phone (609) 525-4510
331 Tilton Rd
Ste 2A
Northfield, NJ 08225
Phone (609) 383-3313
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Ventnor City, NJ
- NPI 1831520931
-
- Physical Therapist
- Rahway, NJ
- NPI 1659079069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1720334147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 FRANKLIN AVE",
"address_2": "APT 3",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070526047",
"telephone_number": "786-380-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 CLIFTON AVE",
"address_2": "SUITE 1A",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133619",
"telephone_number": "973-246-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMINDE",
"first_name": "JET",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"name_suffix": "VIII",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NJ",
"license": "40QA01401100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EPIFANIO",
"last_name": "GAMINDE",
"middle_name": "RAMOS",
"prefix": "MR.",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.