Dynamic Rehab Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01440700 Issued in NJ

Legal business name

DYNAMIC REHAB SERVICES

Practice address

2114 Oak Tree Rd
Edison, NJ 08820-1404

Phone

(732) 642-7641

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mihir Patel

Title

Owner

Phone

(732) 642-7641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1962763854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARTHA ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204403",
            "telephone_number": "732-642-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201404",
            "telephone_number": "732-642-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MIHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-642-7641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01440700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipen Dutta
• Lea Dutta, PHARM.D.;R.PH.
• Shubhadeep Dutta, PHARMD, RPH
• Akanksha Dwivedi, PT
• Ceferino T Dy, MD
• Pooja Eagala, MD
• Matthew Scott Eagelton, DC
• Ear, Nose and Throat Group of Central New Jersey
• Ear, Nose and Throat Group of Central New Jersey
• East Orange General Hospital

• Physical Therapy Clinic/Center in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.