Isaak Gorelov

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

726999 Issued in NJ

Practice address

6 North Corporate Drive
Push to Walk
Riverdale, NJ 07457

Phone

(862) 200-5848

Fax

(862) 200-5976

NPI assigned

Apr 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Push to Walk

  • Rehabilitation Clinic/Center
  • Riverdale, NJ
  • NPI 1902249246
  NPD (past)

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1972923506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTH CORPORATE DRIVE",
            "address_2": "PUSH TO WALK",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "862-200-5848",
            "fax_number": "862-200-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NORTH CORPORATE DRIVE",
            "address_2": "PUSH TO WALK",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "862-200-5848",
            "fax_number": "862-200-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELOV",
        "first_name": "ISAAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NJ",
            "license": "726999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gi Endoscopy Practice LLC
• Ryan Gilmore, PT, DPT
• Jeffrey Ginsburg, M.D.
• Janelle Marie Giresi, DPT
• Karen Glick, ED.S.
• Grace Counseling Ministries, Inc.
• John L Greene, PH.D.
• Karen A Helton-Rhodes, DVM
• Thomas Herman, DPT
• Sarah Hicks, DPT

• Rehabilitation Practitioner in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Rehabilitation Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.