Organization Active NPI

Evening Star Rehabilitation Physical Therapy PC

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1780452060
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EVENING STAR REHABILITATION PHYSICAL THERAPY PC
Practice address
334 Saint Pauls Ave Apt 2
Jersey City, NJ 07306-5019
Phone
(201) 716-9140
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Nishitkumar Kaushik
Title
Owner
Phone
(201) 716-9140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

334 Saint Pauls Ave Apt 2
Jersey City, NJ 07306-5019

Mailing address

334 Saint Pauls Ave Apt 2
Jersey City, NJ 07306-5019
Phone (201) 716-9140

National Provider Directory

National Provider Directory

Locations

557 Grand Concourse
Ste 6040
Bronx, NY 10451
Phone (201) 716-9140

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1780452060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SAINT PAULS AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065019",
            "telephone_number": "201-716-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SAINT PAULS AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065019",
            "telephone_number": "201-716-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENING STAR REHABILITATION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "KAUSHIK",
        "authorized_official_first_name": "NISHITKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-716-9140"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.