Edison Rehabilitation & Acupuncture,P.C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01140100 Issued in NJ

Legal business name

EDISON REHABILITATION & ACUPUNCTURE,P.C

Practice address

1581 Route 27
Unit 3
Edison, NJ 08817-3477

Phone

(732) 287-1990

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Dae Gyun Kim, M.S.,PT, CANPI 1669404323

Title

Owner

Phone

(732) 287-1990

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Daegyun Kim, PT, LAC

  • Physical Therapist
  • Edison, NJ
  • NPI 1669404323

  Acupuncturist

  Medicare reassignment NPD Authorized official
• Young K. Choi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Edison, NJ
  • NPI 1174564140
  NPD (past)

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1902107923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 27",
            "address_2": "UNIT 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173477",
            "telephone_number": "732-287-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 27",
            "address_2": "UNIT 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173477",
            "telephone_number": "732-287-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON REHABILITATION & ACUPUNCTURE,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAE GYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-287-1990",
        "authorized_official_credential": "M.S.,PT, CA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00040500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01140100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edison Pediatrics Associates ,PA
• Edison Pediatrics LLC
• Edison Physical Therapy & Rehab LLC
• Edison Podiatry, PA (Roche Podiatry Group)
• Edison Radiology Group PA JFK Medical Center
• Edison RX Inc (Cross Roads Chemists)
• Edison Sheltered Workshop, Inc.
• Edison Spinal Monitoring LLC
• Edison Spine & Joint Care LLC
• Edison Spine & Pain Center LLC

• Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.