CEPP INNOVATION SPORTS & PHYSICAL REHAB CENTER (NPI# 1043422009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043422009 |
| Entity Type | Organization |
| Organization Name | CEPP INNOVATION SPORTS & PHYSICAL REHAB CENTER |
| Practice Address |
1135 Broad St Flr 3, Suite 2 Clifton NJ 07013-3346 |
| Practice Telephone | 9734713500 |
| Practice Fax Number | 9734713504 |
| Mailing Telephone | 9734713500 |
| Mailing Fax Number | 9734713504 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELIZABETH OJUGO (OWNER) |
| Authorized Official Telephone | 9734713500 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA104330 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA ID | 7243404 | 01 |
| NJ | CMS | 11224882 | 01 |
| Street Address |
1135 BROAD ST FLR 3, SUITE 2 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003869702 | Diane M Allegra | Family Medicine | 1135 Broad St, Suite 201, Clifton, NJ 07013-3346 | 2006-05-17 |
| 1073095345 | Sonu Hitesh Gandhi | Physical Therapist | 1135 Broad St, Clifton, NJ 07013-3346 | 2018-09-04 |
| 1932627254 | Raymond Nguyen | Occupational Therapist | 1135 Broad St, Clifton, NJ 07013-3346 | 2017-09-07 |
| 1164973921 | Kelly Siss | Speech-Language Pathologist | 1135 Broad St, Clifton, NJ 07013-3346 | 2016-10-17 |
| 1558738591 | Allison Marie Finn | Physical Therapist | 1135 Broad St, Clifton, NJ 07013-3346 | 2015-08-25 |
| 1538542949 | Christine Leroy | Family Medicine | 1135 Broad St, Clifton, NJ 07013 | 2015-07-02 |
| 1881028637 | Anthony Vincent Costella | Physical Therapist | 1135 Broad St, Suite 101, Clifton, NJ 07013-3346 | 2013-08-29 |
| 1699115717 | Tom Murikan | Family Medicine | 1135 Broad St, Clifton, NJ 07013-3346 | 2013-07-03 |
| 1316202542 | Michael Schwarz Internal Medicine LLC | Internal Medicine | 1135 Broad St, Suite 205, Clifton, NJ 07013-3346 | 2012-07-13 |
| 1487918637 | Kunjal Patel | Student in an Organized Health Care Education/Training Program | 1135 Broad St, Clifton, NJ 07013-3346 | 2012-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522349 | Cem Physical Therapy & Rehabilitation | Clinic/Center | 178 Lakeview Ave, Clifton, NJ 07011-4071 | 2019-08-08 |
| 1174092530 | Accelerated Wellness Center LLC | Clinic/Center | 1117 Us Highway 46 Ste 201, Clifton, NJ 07013-2450 | 2018-11-15 |
| 1982004016 | Leonard Zeltser | Clinic/Center | 283 Piaget Ave, Clifton, NJ 07011-2510 | 2014-08-26 |
| 1003168618 | Premier Rehab Plus LLC | Clinic/Center | 1033 Clifton Ave Ste 211, Clifton, NJ 07013-3525 | 2012-10-05 |
| 1770805541 | De La Cerna Pt,pc | Clinic/Center | 463 Clifton Avenue, Clifton, NJ 07011 | 2010-02-22 |
| 1851548762 | Clifton Sports Medicine & Physical Therapy LLC | Clinic/Center | 1233 Main Ave, Clifton, NJ 07011-2241 | 2008-08-21 |
| 1295859502 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 283 Piaget Ave., Clifton, NJ 07011 | 2007-03-19 |
| 1750926861 | Objective Physical Therapy & Rehab | Clinic/Center | 1081 Paulison Ave, Clifton, NJ 07011-3658 | 2019-11-12 |
| 1215404926 | Elite Physical Therapy & Wellness | Clinic/Center | 988 Main Ave, Clifton, NJ 07011-2478 | 2018-10-31 |
| 1306251566 | Comprehensive Physical Therapy and Rehabilitation LLC | Clinic/Center | 246 Clifton Ave, Clifton, NJ 07011-1900 | 2014-06-26 |
| Find all providers in CLIFTON | ||||
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| 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.