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FAMILY PM LLC
NPI 1104554633
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Manalapan, NJ

Active since August 11, 2022CLIA 31D2324081 · Waiver
300 CRAIG RD STE 204, MANALAPAN, NJ 07726(732) 546-1383 Get Directions Write a Review

NPPES record last updated: May 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2025, Aug 11, 2022 (2 updates tracked since 2022).

About Family Pm Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY PM LLC (NPI 1104554633) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Manalapan, New Jersey and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Roman Shaposhnikov, Owner, as its authorized official.

NPPES Registry Identity

NPI1104554633
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameFAMILY PM LLC
Location Address300 CRAIG RD STE 204Manalapan, NJ 07726-8742
Mailing Address300 Craig Rd Ste 204Manalapan, NJ 07726-8742 · (732) 546-1383
Phone(732) 546-1383
Organization SubpartNo
Authorized OfficialRoman ShaposhnikovOwner · (732) 546-1383
Enumeration DateAugust 11, 2022
Last NPPES UpdateMay 18, 20252 updates tracked since enumeration
NPPES CertifiedMay 18, 2025
✔ NPI 1104554633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
300 CRAIG RD STE 204, Manalapan, NJ 07726
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Pm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Pm LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Yevgeniya Peskova, MS OTR/L
Occupational Therapist in Private Practice
NPI 1275994519
335 ROUTE 9 UNIT A10
Manalapan, NJ 07726
(732) 860-8100
✔ Accepts Medicare6.7 mi
Daniel Nassirzadeh, DC
Chiropractic
NPI 1518207257
200 WINSTON DR APT. 1119
Cliffside Park, NJ 07010
(646) 732-4891
✔ Accepts Medicare41 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2324081

Family Pm LLC · Manalapan, NJ
Active · expires May 18, 2027
CLIA Number31D2324081
Laboratory TypePain Management And Rehab
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorRoman Shaposhnikov
Laboratory Phone(732) 546-1383
Laboratory LocationFamily Pm LLC300 Craig Rd Suite 204, Manalapan, NJ 07726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Pm LLC's NPI number?

The NPI number for Family Pm LLC is 1104554633. It was assigned to this organization in the NPPES registry on August 11, 2022.

Where is Family Pm LLC located?

Family Pm LLC is located at 300 Craig Rd Ste 204, Manalapan, NJ 07726. The listed phone number is (732) 546-1383.

What is Family Pm LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Is Family Pm LLC enrolled in Medicare?

Yes. Family Pm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Pm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Family Pm LLC, in Chiropractic and Occupational Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Pm LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2324081) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Pm LLC was last updated on May 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.