Organization Active NPI

Jersey Central Physical Therapy

  • Rehabilitation Clinic/Center
  • Edison, NJ
National Provider Identifier
1851452387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
JERSEY CENTRAL PHYSICAL THERAPY
Practice address
2147 Route 27
Edison, NJ 08817
Phone
(732) 777-9733
Fax
(732) 777-9730
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Caroline Ivashenko
Title
Administrator President
Phone
(732) 777-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2147 Route 27
Edison, NJ 08817

Mailing address

2147 Route 27
Edison, NJ 08817
Phone (732) 777-9733

National Provider Directory

National Provider Directory

Locations

2147 State Route 27
Edison, NJ 08817
Phone (732) 777-9733

Practitioners & affiliated clinicians

Practitioners 7

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851452387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817",
            "telephone_number": "732-777-9733",
            "fax_number": "732-777-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817",
            "telephone_number": "732-777-9733",
            "fax_number": "732-777-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CENTRAL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVASHENKO",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR PRESIDENT",
        "authorized_official_telephone_number": "732-777-9733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.