Healthcare Provider Details

I. General information

NPI: 1265337521
Provider Name (Legal Business Name): RICHMOND HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 MAIN ST STE 100
MATAWAN NJ
07747-3178
US

IV. Provider business mailing address

158 MAIN ST STE 100
MATAWAN NJ
07747-3178
US

V. Phone/Fax

Practice location:
  • Phone: 732-931-4699
  • Fax: 646-368-8339
Mailing address:
  • Phone: 732-931-4699
  • Fax: 646-368-8339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MADHURANI MAHAJAN
Title or Position: DIRECTOR/PHYSICAL THERAPIST
Credential: PT,DPT
Phone: 732-931-4699