Mark Yulo Jalijali

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020390 Issued in PA

Practice address

4 Ethel Rd
Suite 403B
Edison, NJ 08817-2841

Phone

(516) 728-2758

NPI assigned

Apr 2, 2010

Last updated

Apr 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1730404781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ETHEL RD",
            "address_2": "SUITE 403B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172841",
            "telephone_number": "516-728-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ETHEL RD",
            "address_2": "SUITE 403B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172841",
            "telephone_number": "516-728-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALIJALI",
        "first_name": "MARK",
        "middle_name": "YULO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020390",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barkha Jain
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• Garima Jain, PT
• Rakesh Jain, CPO
• Vishal Jain
• Tuhay Jalloh
• Julia Jaman
• James Street Inpatient Services LLC
• James Street Surgical Center LLC (James St. Surgical Center)
• James Zu, MD,PA

• Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.