KIMBERLY PHYSICAL THERAPY & REHABILITATION (NPI# 1578810289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578810289 |
| Entity Type | Organization |
| Organization Name | KIMBERLY PHYSICAL THERAPY & REHABILITATION |
| Practice Address |
1060 Broad St Newark NJ 07102-2397 |
| Mailing Address |
770 River Rd #29 Edgewater NJ 07020-6600 |
| Practice Telephone | 9735585353 |
| Practice Fax Number | 9735585355 |
| Mailing Telephone | 2018517534 |
| Mailing Fax Number | 2017585095 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | MR. EDILBERTO ORCULLO ESTOMO JR. (OWNER) |
| Authorized Official Telephone | 2019517534 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00520400 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1060 BROAD ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356378434 | Rajan S Shah | Internal Medicine | 1060 Broad St, Newark, NJ 07102 | 2006-06-26 |
| 1275167967 | Pain Vein & Aesthetics Mgmt LLC | Chiropractor | 1060 Broad St, Newark, NJ 07102-2397 | 2020-03-03 |
| 1194235010 | Karla M Cayamcela | Physical Therapy Assistant | 1060 Broad St, Baesment, Newark, NJ 07018 | 2017-10-05 |
| 1285028217 | Orthosports Physical Therapy and Rehabilitation PC | Physical Therapist | 1060 Broad St, Grnd Floor, Newark, NJ 07102-2397 | 2015-03-27 |
| 1033511647 | Ami Shah | Pharmacist | 1060 Broad St, Newark, NJ 07102-2397 | 2014-09-25 |
| 1518268499 | Advanced Foot & Ankle Center Inc. | Podiatrist | 1060 Broad St, Newark, NJ 07102-2397 | 2010-11-09 |
| 1265627376 | Rajan Shah Md Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1740475854 | Essex Plaza Medical Associates Pa | Internal Medicine | 1060 Broad St, Newark, NJ 07102-2397 | 2007-09-11 |
| 1336354919 | Happy Days II Adult Heathcare | Clinic/Center | 1060 Broad St, Newark, NJ 07102-2397 | 2007-05-14 |
| 1053480475 | Vikas S. Bawa | Podiatrist | 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164663563 | Spine and Orthopedic Specialists, Inc. | Clinic/Center | 1101 Twin C Ln Ste 203, Newark, DE 19713-2159 | 2009-03-13 |
| 1548488679 | Omega Medical Center, LLC | Clinic/Center | 15 Omega Dr Bldg K, Newark, DE 19713-2057 | 2007-04-23 |
| 1316062060 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 375 Mccarter Hwy., Newark, NJ 07102 | 2007-03-20 |
| 1730204488 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 221 Chestnut Street, Newark, NJ 07105 | 2007-03-20 |
| 1699800482 | Occupational Health Centers of Delaware, P.a. | Clinic/Center | 4110 Stanton-ogletown Road, Newark, DE 19713 | 2007-02-22 |
| 1679650790 | Forest Hill Rehabilitation Center | Clinic/Center | 465 Mt Prospect Ave., Newark, NJ 07104 | 2006-11-01 |
| 1336223940 | Theratrust, Inc. | Clinic/Center | 156 W Church St, Newark, OH 43055-4946 | 2006-10-24 |
| 1467456863 | Rehabclinics Spt Inc | Clinic/Center | 550 Stanton Christiana Rd, Newark, DE 19713-2198 | 2005-06-13 |
| 1932722311 | Next Move Physical Therapy | Clinic/Center | 136 Peel Ln, Newark, DE 19702-1164 | 2020-05-20 |
| 1265086664 | Lu Homecare Rehabilitation Service LLC | Clinic/Center | 236 Ferry St, Newark, NJ 07105-5401 | 2019-07-24 |
| Find all providers in NEWARK | ||||
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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.