Organization Active NPI

Alpha One Physical Therapy PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Jersey City, NJ
National Provider Identifier
1811340243
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
ALPHA ONE PHYSICAL THERAPY PC
Practice address
3200 Kennedy Blvd
Jersey City, NJ 07306-3416
Phone
(917) 574-5334
Fax
(718) 333-1398
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Omar Ahmed, MD
Title
Medical Director
Phone
(917) 574-5334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

3200 Kennedy Blvd
Jersey City, NJ 07306-3416

Mailing address

3600 Bergenline Ave
Ste 8
Union City, NJ 07087-7900
Phone (917) 574-5334

National Provider Directory

National Provider Directory

Locations

3200 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 721-5359

470 Chamberlain Ave
Paterson, NJ 07522
Phone (914) 262-8351

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1811340243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BERGENLINE AVE",
            "address_2": "STE 8",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070877900",
            "telephone_number": "917-574-5334",
            "fax_number": "718-333-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063416",
            "telephone_number": "917-574-5334",
            "fax_number": "718-333-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ONE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-574-5334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 20, 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.

Verify at the official NPI Registry.