SILVER LAKE PHYSICAL THERAPY LLC (NPI# 1790231611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790231611 |
| Entity Type | Organization |
| Organization Name | SILVER LAKE PHYSICAL THERAPY LLC |
| Practice Address |
140 Belmont Ave Ste. 101 Belleville NJ 07109-1018 |
| Mailing Address |
9-11 Cuozzo St. Floor 1 Belleville NJ 07109-1231 |
| Practice Telephone | 9737519230 |
| Mailing Telephone | 9168498761 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | MARILYN UMALI-DIZON (PT/CO-OWNER) |
| Authorized Official Telephone | 9737519230 |
| Authorized Official Credential | PT,DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01114300 | NJ | Ambulatory Health Care Facilities |
| Street Address |
140 BELMONT AVE STE. 101 |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767875 | Gayithri R Keshav | Internal Medicine | 140 Belmont Ave, Ste 103, Belleville, NJ 07109-1018 | 2006-09-05 |
| 1306487640 | Karina Agajanov | Nurse Practitioner | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2019-10-07 |
| 1356810402 | Arlene Yaoto | Nurse Practitioner | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2018-11-19 |
| 1104294909 | Roger Keshav Md Pa | Internal Medicine | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 | 2015-09-10 |
| 1508292525 | Paulette Taka Lanneaux | Nurse Practitioner | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 | 2013-09-23 |
| 1629333711 | Keshav M Shiva Md Pa | Internal Medicine | 140 Belmont Ave, 102, Belleville, NJ 07109-1017 | 2012-07-05 |
| 1942525316 | Roger Keshav | Internal Medicine | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2010-03-29 |
| 1427389410 | Allan Renier Mendez | Specialist | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2010-01-15 |
| 1811050404 | Keashava Shivashankar | Internal Medicine | 140 Belmont Ave, Ste 102, Belleville, NJ 07109-1018 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952681827 | Pro Health Physical Therapy, PC | Clinic/Center | 35 Harrison St, Belleville, NJ 07109-3514 | 2011-08-24 |
| 1386701662 | Apex Physical Therapy, LLC | Clinic/Center | 144 Lincoln Place Ct, Suite 1, Belleville, IL 62221 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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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.