Active NPI
Non-Surgical Orthopedics of New Jersey
- Physical Medicine & Rehabilitation Physician
- Perth Amboy, NJ
National Provider Identifier
1790062628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MB08561100
- Legal business name
- NON-SURGICAL ORTHOPEDICS OF NEW JERSEY
- Practice address
- 1107 Convery Blvd
Perth Amboy, NJ 08861-1937 - Phone
- (516) 220-8960
- Fax
- (516) 717-3556
- NPI assigned
- Nov 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ketan Dhruvkumar Vora, DO
- Title
- Physician
- Phone
- (516) 220-8960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB08561100 | NJ | Primary |
Addresses
Primary practice location
1107 Convery Blvd
Perth Amboy, NJ 08861-1937
Mailing address
465 Washington Blvd
Suite 2007 South
Jersey City, NJ 07310-2117
Phone (516) 220-8960
National Provider Directory
National Provider DirectoryLocations
680 Broadway
Ste 202
Paterson, NJ 07514
Phone (973) 782-4117
444 Market St
#C
Saddle Brook, NJ 07663
Phone (201) 843-9441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478044800000",
"number": "1790062628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 WASHINGTON BLVD",
"address_2": "SUITE 2007 SOUTH",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073102117",
"telephone_number": "516-220-8960",
"fax_number": "516-717-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 CONVERY BLVD",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088611937",
"telephone_number": "516-220-8960",
"fax_number": "516-717-3556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NON-SURGICAL ORTHOPEDICS OF NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-07",
"last_updated": "2016-11-02",
"status": "A",
"authorized_official_last_name": "VORA",
"authorized_official_first_name": "KETAN",
"authorized_official_middle_name": "DHRUVKUMAR",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "516-220-8960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB08561100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.