Plaza 12 Physical Therapy Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA00741500 Issued in NJ

Legal business name

PLAZA 12 PHYSICAL THERAPY CENTER

Practice address

835 Roosevelt Ave
Plaza 12, Suite 4B
Carteret, NJ 07008-1815

Phone

(732) 541-7370

Fax

(732) 969-2839

NPI assigned

Nov 8, 2007

Last updated

Nov 8, 2007By 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

Sharon Bartkovich

Title

President

Phone

(732) 541-7370

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.

• Sukhmeet Singh, DPT

  • Orthopedic Physical Therapist
  • Clark, NJ
  • NPI 1033528187
  Medicare reassignment

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1881874725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 ROOSEVELT AVE",
            "address_2": "PLAZA 12, SUITE 4B",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081815",
            "telephone_number": "732-541-7370",
            "fax_number": "732-969-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 ROOSEVELT AVE",
            "address_2": "PLAZA 12, SUITE 4B",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081815",
            "telephone_number": "732-541-7370",
            "fax_number": "732-969-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA 12 PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "BARTKOVICH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-541-7370"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00741500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful Psych Consultation Services
• Kate Pena, LAT, ATC
• Elizabeth Thuy Phan, MSPT
• Physical Therapy Center Management Group, LLC
• Lilibet Maria Plasencia, PHYSICIAN ASSISTANT
• Prestige Pain Centers PC
• Prime Pharmacy
• Prime Pharmacy Inc.
• Prime Pharmacy Inc.
• Prime Time Center Inc

• Specialist in Carteret, NJ
• Providers in Carteret, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.