Provider Demographics
NPI:1598872723
Name:AJAY CONSULTING CORPORATION
Entity Type:Organization
Organization Name:AJAY CONSULTING CORPORATION
Other - Org Name:CENTRAL JERSEY PT ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AJAY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KALOLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:732-360-1100
Mailing Address - Street 1:14 WOODWARD DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3363
Mailing Address - Country:US
Mailing Address - Phone:732-360-1100
Mailing Address - Fax:732-360-1170
Practice Address - Street 1:14 WOODWARD DR
Practice Address - Street 2:SUITE B
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3363
Practice Address - Country:US
Practice Address - Phone:732-360-1100
Practice Address - Fax:732-360-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA006946002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ023574Medicare ID - Type UnspecifiedAJAY M KALOLA, LPT