FAMILY PM LLC NPI 1104554633

NPI Information

NPI: 1104554633
Provider Name: FAMILY PM LLC
Classification: Clinic/Center - 261QR0401X
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Entity Type: Organization
CLIA Number: 31D2324081
Address: 300 CRAIG RD STE 204
MANALAPAN, NJ
ZIP 07726
Phone: (732) 546-1383

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NPI Details

FAMILY PM LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Manalapan, NJ. FAMILY PM LLC NPI is 1104554633. The provider is registered as an organization entity type.

The provider's business location address is:

300 CRAIG RD STE 204
MANALAPAN, NJ
ZIP 07726-742
Phone: (732) 546-1383

The provider's authorized official is Roman Shaposhnikov .
The authorized official title is Owner and has the following contact phone number (732) 546-1383.

The CLIA number assigned to this NPI record is 31D2324081 - other - pain management and rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2022 and was last updated on 5/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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