Organization Active NPI

Middlesex Physical Therapy Services Inc.

  • Specialist
  • Perth Amboy, NJ
National Provider Identifier
1831249036
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00342200 Issued in NJ
Legal business name
MIDDLESEX PHYSICAL THERAPY SERVICES INC.
Practice address
40 New Brunswick Ave
Perth Amboy, NJ 08861-5000
Phone
(732) 324-2121
Fax
(732) 324-2422
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Qurban Ali Babar, P. T.NPI 1306034798
Title
Director
Phone
(732) 324-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40QA00342200 NJ Primary

Addresses

Primary practice location

40 New Brunswick Ave
Perth Amboy, NJ 08861-5000

Mailing address

40 New Brunswick Ave
Perth Amboy, NJ 08861-5000
Phone (732) 324-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000505 NJ Part B Supplier - Clinic/Group Practice 9739265562 Receives reassigned benefits from 2 practitioners
Practice locations: Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

40 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-2121

40 New Brunswick Ave
Ste 1
Perth Amboy, NJ 08861

Practitioners & affiliated clinicians

Practitioners 3

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1831249036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615000",
            "telephone_number": "732-324-2121",
            "fax_number": "732-324-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615000",
            "telephone_number": "732-324-2121",
            "fax_number": "732-324-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX PHYSICAL THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "BABAR",
        "authorized_official_first_name": "QURBAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-324-2121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00342200",
            "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 Mar 14, 2008; 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.