KENNEDY REHAB & PHYSICAL THERAPY (NPI# 1003029018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003029018 |
| Entity Type | Organization |
| Organization Name | KENNEDY REHAB & PHYSICAL THERAPY |
| Practice Address |
3540 Kennedy Blvd Jersey City NJ 07307 |
| Mailing Address |
Po Box 4505 Warren NJ 07059-0505 |
| Practice Telephone | 2013861800 |
| Practice Fax Number | 2013868218 |
| Mailing Telephone | 2013861800 |
| Mailing Fax Number | 2013868218 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MRS. SYED M SHAH (PRESIDENT) |
| Authorized Official Telephone | 2013861800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3540 KENNEDY BLVD |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287957 | Urgent Medical Care & Mri, LLC | Internal Medicine | 3540 Kennedy Blvd, Jersey City, NJ 07307-3450 | 2020-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958864 | Tiffany Nicole Pierce | Specialist | 730 Newark Ave Apt 12d, Jersey City, NJ 07306-2816 | 2020-06-30 |
| 1376100586 | Kariume Alexander Joyner | Specialist | 16 Bennett St Apt 311, Jersey City, NJ 07304-1091 | 2019-05-22 |
| 1003321787 | Jasmine N Wright | Specialist | 234 Fulton Ave Fl 2, Jersey City, NJ 07305-2210 | 2017-12-04 |
| 1124532064 | Integrative Obgyn Medical LLC | Specialist | 21 Mcwilliams Pl # Jc, Jersey City, NJ 07302-1609 | 2017-11-30 |
| 1578099594 | Orlando Velez | Specialist | 22 Carlton Ave, Jersey City, NJ 07307-3808 | 2017-05-11 |
| 1851836977 | Carolina Pineda | Specialist | 295 Clerk St, 2, Jersey City, NJ 07304-2799 | 2016-12-28 |
| 1023465044 | Nicole Olivia Brown | Specialist | 37 Jewett Ave, Jersey City, NJ 07304-3015 | 2016-05-19 |
| 1043674575 | Sara Goral | Specialist | 232 Pavonia Ave Apt 419, Jersey City, NJ 07302-1758 | 2016-04-11 |
| 1780043620 | Lao & Cheng Phyiscal Therapy | Specialist | 32 Cypress St, Jersey City, NJ 07305-4869 | 2016-02-21 |
| 1265859995 | Mae English | Specialist | 30 Newport Pkwy Apt 2112, Jersey City, NJ 07310-1512 | 2014-03-19 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
Please comment or provide details below to improve the information on KENNEDY REHAB & PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.