Imge Rehabilitation LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IMGE REHABILITATION LLC

Doing business as

Positive Reset Services

Practice address

200 Middlesex Essex Tpke Ste 304
Iselin, NJ 08830-2033

Phone

(732) 455-2343

Fax

(732) 860-1350

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Igor Ravinsky

Title

Owner

Phone

(917) 355-7104

Specialties & licenses 1

Addresses

Other names 1

• Positive Reset Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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.

• Renald Sanrelus

  • Mental Health Counselor
  • Springfield, NJ
  • NPI 1336872902

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Karina Khulkar Shariff, MSN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Linden, NJ
  • NPI 1801620695
  Medicare reassignment Care Compare group NPD
• Jessica Plonchak

  • Clinical Social Worker
  • Teaneck, NJ
  • NPI 1750837803
  Medicare reassignment NPD
• Jessica Raimondo, MA,NCC,LAC

  • Mental Health Counselor
  • Iselin, NJ
  • NPI 1881556249
  NPD

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1760965065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HAMPTON CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263280",
            "telephone_number": "917-355-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDDLESEX ESSEX TPKE STE 304",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302033",
            "telephone_number": "732-455-2343",
            "fax_number": "732-860-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Hampton Ct",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263280",
            "country_code": "US",
            "telephone_number": "917-355-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMGE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "RAVINSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-355-7104"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Reset Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Ann Huggler, APN
• Andrew Hunton, P.A.-C
• Henry Adewole Ibitokun, APN-C
• Dina Ibrahim, DPM
• Amaka Ikemefuna, APN
• Imperfectly Perfect Iic
• Indegene Healthcare LLC
• Invitae Corporation
• Iselin Adult Day Care Center LLC
• Iselin Surgicare LLC (rita surgicare)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.