NPIMap

Organization Active NPI

Integrated Physiatry Services

  • Physical Medicine & Rehabilitation Physician
  • Somerville, NJ
National Provider Identifier
1902972201
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO7431600 Issued in NJ
Legal business name
INTEGRATED PHYSIATRY SERVICES
Practice address
331 E Main St
Somerville, NJ 08876-3109
Phone
(908) 490-0036
Fax
(908) 490-0067
NPI assigned
Nov 28, 2006
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Vimi Khattar, M.D.NPI 1053484709
Title
President
Phone
(908) 490-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X DO7431600 NJ Primary

Addresses

Primary practice location

331 E Main St
Somerville, NJ 08876-3109

Mailing address

45 S Park PL
Unit 259
Morristown, NJ 07960-3924
Phone (908) 490-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000913 NJ Part B Supplier - Clinic/Group Practice 3779577143 Receives reassigned benefits from 7 practitioners
Practice locations: Bridgewater, NJ; Greenbrook, NJ; Hillsborough, NJ; Somerville, NJ

National Provider Directory

National Provider Directory

Locations

303 Rock Ave
Green Brook, NJ 08812
Phone (732) 968-5500

331 E Main St
Somerville, NJ 08876
Phone (908) 392-1167

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1902972201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PARK PL",
            "address_2": "UNIT 259",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079603924",
            "telephone_number": "908-490-0036",
            "fax_number": "908-490-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763109",
            "telephone_number": "908-490-0036",
            "fax_number": "908-490-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSIATRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "KHATTAR",
        "authorized_official_first_name": "VIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-490-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "DO7431600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.