NPIMap

Organization Active NPI

New Jersey Rehab Experts LLC

  • Multi-Specialty Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1720538929
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEW JERSEY REHAB EXPERTS LLC
Practice address
610 Washington Blvd
Jersey City, NJ 07310-1400
Phone
(267) 271-8938
Fax
(866) 966-7882
NPI assigned
Oct 12, 2016
Last updated
Oct 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Sunny Thakkar, PTNPI 1619247996
Title
Director
Phone
(212) 227-3233

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapy Clinic/Center 261QP2000X 40QA01588700 NJ

Addresses

Primary practice location

610 Washington Blvd
Jersey City, NJ 07310-1400

Mailing address

610 Washington Blvd
Jersey City, NJ 07310-1400
Phone (212) 227-3233

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://services.paydc.com/Account Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180607000361 NJ Part B Supplier - Clinic/Group Practice 9335404656 Receives reassigned benefits from 10 practitioners
Practice locations: Bayonne, NJ; Jersey City, NJ; West Windsor, NJ
O20180809005428 NJ DME Supplier - Independently-Practicing Physical Therapist 9335404656 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

864 Broadway
Bayonne, NJ 07002
Phone (201) 339-1109

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1720538929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "212-227-3233",
            "fax_number": "866-549-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101400",
            "telephone_number": "267-271-8938",
            "fax_number": "866-966-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY REHAB EXPERTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-227-3233",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01588700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://services.paydc.com/Account",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@njrehabexperts.com",
            "address_1": "610 Washington Blvd",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073101400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.