Jam Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JAM REHABILITATION LLC

Practice address

3 Belleview Rd
Holmdel, NJ 07733-2001

Phone

(917) 406-8432

Fax

(732) 444-1214

NPI assigned

May 19, 2020

Last updated

Jun 1, 2020By 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

Maria Lobifaro, PTNPI 1093943904

Title

Physical Therapist

Phone

(917) 406-8432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Maria Lobifaro, P.T.

  • Physical Therapist
  • Staten Island, NY
  • NPI 1093943904

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1811510373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BELLEVIEW RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332001",
            "telephone_number": "917-406-8432",
            "fax_number": "732-444-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BELLEVIEW RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332001",
            "telephone_number": "917-406-8432",
            "fax_number": "732-444-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "LOBIFARO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-406-8432",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley L. Jaeger, APN
• Maritza Victoria Jaque, P.T.
• Shravya Jasti, MD
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• Jayati C. Bhattacharyya DDS PC
• Samantha Jensen, DPT

• Physical Therapist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.