Family Care Physical Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FAMILY CARE PHYSICAL THERAPY LLC

Practice address

292 High Crest Dr
West Milford, NJ 07480-3710

Phone

(973) 908-2530

Fax

(973) 860-0878

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By 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

Dr. Nicole MustafaNPI 1588339931

Title

Owner

Phone

(973) 908-2530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Nicole Elizabeth Mustafa

  • Physical Therapist
  • Wayne, NJ
  • NPI 1588339931
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1851173967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 HIGH CREST DR",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074803710",
            "telephone_number": "973-908-2530",
            "fax_number": "973-860-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 HIGH CREST DR",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074803710",
            "telephone_number": "973-908-2530",
            "fax_number": "973-860-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-908-2530",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Keeney LLC (Inspired Talk Therapy)
• Briana Egan, RD, CSG, LDN
• Ehl Rehabilitation, LLC (EHL Rehab)
• Susan A Engel, LCSW
• Dina Erian, DDS
• Yasmeen Faraj
• Jacqueline Felczak, M.A., LPC, LCADC
• Evelyn Fernandez, RPH
• Susan T Fitzsimons, NBCR NATIONALBOARD C
• Maryclaire Fleming-Reilly, PT

• Physical Medicine & Rehabilitation Physician in West Milford, NJ
• Providers in West Milford, 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 Oct 16, 2023; 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.