Panda Physical Medicine LLC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

Legal business name

PANDA PHYSICAL MEDICINE LLC

Practice address

142 Highway 35 Ste 107
Eatontown, NJ 07724-1864

Phone

(732) 867-8030

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Jillian Rovira

Title

Practice Manager

Phone

(848) 220-4685

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Anthony Ferrante, D.C.

  • Chiropractor
  • Oakhurst, NJ
  • NPI 1780759258
  NPD

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1831801596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 DEAL RD APT 12",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123443",
            "telephone_number": "732-455-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGHWAY 35 STE 107",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241864",
            "telephone_number": "732-867-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "ROVIRA",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "848-220-4685"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacemaker Programming & Monitoring Corp.
• Alisa Pallitto
• Ludmilla Palmer, A.P.N.
• Pratik Panchal, M.D.
• Panda Physical Medicine LLC
• Olivia Rose Paone, LSW
• Brianna Pardo, LPC
• Nicholas Paredes
• Ruth Desiree Parsell, PTA
• Melissa Pastor, RD

• Neurology Chiropractor in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Neurology Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.