Caremax for Physical Therapy and Rehabilitation Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAREMAX FOR PHYSICAL THERAPY AND REHABILITATION SERVICES LLC

Practice address

317 Avenue C
Bayonne, NJ 07002-1400

Phone

(201) 932-5820

Fax

(201) 455-2365

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Magdolin Shenouda, PT, DPT, PH.D.NPI 1043892896

Title

Owner/Physical Therapist

Phone

(201) 380-6385

Specialties & licenses 1

Addresses

Other names 1

• Caremax for physical therapy LLC Other name

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Magdolin Mishel Samy Saad Shenouda, PT, DPT, PH.D.

  • Physical Therapist
  • Bayonne, NJ
  • NPI 1043892896
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1730758988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021400",
            "telephone_number": "201-932-5820",
            "fax_number": "201-455-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021400",
            "telephone_number": "201-932-5820",
            "fax_number": "201-455-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMAX FOR PHYSICAL THERAPY AND REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "SHENOUDA",
        "authorized_official_first_name": "MAGDOLIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "201-380-6385",
        "authorized_official_credential": "PT, DPT, PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "317 Avenue C",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070021400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "317 Avenue C",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070021400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "317 Avenue C",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070021400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Caremax for physical therapy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lina Cambria, M.D.
• Kadaisha J Cameron
• Maura Concetta Cangiano, LPC
• Carlos Cantu Lopez, MD
• Amanda Rose Caperton, RN
• Carepoint Health Pharmacy Bayonne LLC
• Carepoint Health- Bayonne Medical Center
• Troy Soriano Cariaso, DPT
• Caring Hands Occupational Therapy
• Caringhouse Projects, Inc

• Physical Therapy Clinic/Center in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.