NPIMap

Organization Active NPI

Performance Medical Group of Somerset

Doing business as Performance Rehabilitation & Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Somerset, NJ
National Provider Identifier
1780287326
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PERFORMANCE MEDICAL GROUP OF SOMERSET
Doing business as
Performance Rehabilitation & Regenerative Medicine
Practice address
454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone
(908) 756-2424
Fax
(908) 546-7978
NPI assigned
Nov 17, 2020
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Ashley Finer
Title
Revenue Cycle Manager
Phone
(908) 756-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

454 Elizabeth Ave
Somerset, NJ 08873-5111

Mailing address

1011 US Highway 22 Ste 203
Bridgewater, NJ 08807-2979
Phone (908) 756-2424

Other names 1

  • Performance Rehabilitation & Regenerative Medicine Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201209000736 NJ Part B Supplier - Clinic/Group Practice 0941612360 Receives reassigned benefits from 55 practitioners
Practice locations: Somerset, NJ
O20210108001992 NJ DME Supplier - Physician - General Practice 0941612360 Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Locations

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

10 Johnston Dr
Watchung, NJ 07069

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1780287326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 US HIGHWAY 22 STE 203",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072979",
            "telephone_number": "908-756-2424",
            "fax_number": "908-450-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ELIZABETH AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735111",
            "telephone_number": "908-756-2424",
            "fax_number": "908-546-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICAL GROUP OF SOMERSET",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "FINER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "908-756-2424"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehabilitation & Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Performance Rehabilitation & Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.