Personalized Physiatry Care PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA07439600 Issued in NJ

Legal business name

PERSONALIZED PHYSIATRY CARE PC

Practice address

10 Cindy St
Old Bridge, NJ 08857-3002

Phone

(732) 583-4367

Fax

(732) 862-1201

NPI assigned

Feb 21, 2007

Last updated

Mar 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yasmeen Chaudhary, MDNPI 1447261276

Title

President

Phone

(732) 583-4367

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Yasmeen Chaudhary, MD

  • Physical Medicine & Rehabilitation Physician
  • Bayonne, NJ
  • NPI 1447261276
  Medicare reassignment NPD Authorized official
• Allison Louise Pilarski, MD

  • Anesthesiology Physician
  • Saint Paul, MN
  • NPI 1912946997
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1801921044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DONALD CIR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479521",
            "telephone_number": "732-202-8847",
            "fax_number": "732-862-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CINDY ST",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573002",
            "telephone_number": "732-583-4367",
            "fax_number": "732-862-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED PHYSIATRY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "YASMEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-583-4367",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA07439600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104655",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jacinda Pietanza, PHYSICIAN ASSISTANT
• Elijah Piker

• Physical Medicine & Rehabilitation Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.