Eugene Selim, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA00729000 Issued in NJ

Practice address

1117 Main Ave Ste 101
Clifton, NJ 07011-2379

Phone

(973) 405-6088

NPI assigned

May 5, 2011

Last updated

May 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edison Pain & Rehab Center LLC

  • Rehabilitation Chiropractor
  • Edison, NJ
  • NPI 1215631452
  NPD (past)

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1730471954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 33RD ST APT 4",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022875",
            "telephone_number": "201-858-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MAIN AVE STE 101",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112379",
            "telephone_number": "973-405-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIM",
        "first_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00729000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imranjot Singh Sekhon, MD
• Yehudah Selengut, LSW
• Selevany Medical Group, Inc
• Muhammad Tahir Selevany, MD
• Self Counseling LLC
• Edith L Selzer, LCSW
• Seniorcare Rehab, LLC
• Kathrin Sandra Serrao, M.D.
• Serv Behavioral Health System
• Serv Behavioral Health System, Inc.

• Orthopedic Physical Therapist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.