Individual provider Active NPI

Vincent L Ceasrine, PHYSICAL THERAPY

  • Physical Therapist
  • Fanwood, NJ
National Provider Identifier
1013075233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00602500 Issued in NJ
Practice address
313 South Ave Ste 205
Fanwood, NJ 07023-1364
Phone
(908) 889-7900
Fax
(908) 889-6003
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00602500 NJ Primary

Addresses

Primary practice location

313 South Ave Ste 205
Fanwood, NJ 07023-1364

Mailing address

313 South Ave Ste 205
Fanwood, NJ 07023-1364
Phone (908) 889-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000239 NJ Practitioner - Physical Therapist in Private Practice 3072504539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

210 N Ave E
Cranford, NJ 07016-2491
Phone (908) 276-0237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC Physical Therapist CurrentSince Oct 27, 2022 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Oct 27, 2022 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

40 Main St
Chatham, NJ 07928
Phone (973) 635-0800

210 North Ave E
Cranford, NJ 07016
Phone (908) 272-6300

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

525 Central Ave
Ste A
Westfield, NJ 07090
Phone (908) 654-4252

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013075233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SOUTH AVE STE 205",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231364",
            "telephone_number": "908-889-7900",
            "fax_number": "908-889-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SOUTH AVE STE 205",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231364",
            "telephone_number": "908-889-7900",
            "fax_number": "908-889-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEASRINE",
        "first_name": "VINCENT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00602500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.