Jennifer K Soares, PT, DPT, CHT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

QA00873100 Issued in NJ

Practice address

795 Franklin Ave
Franklin Lakes, NJ 07417-1368

Phone

(201) 847-8585

Fax

(201) 847-0985

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1013085315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171368",
            "telephone_number": "201-847-8585",
            "fax_number": "201-847-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171368",
            "telephone_number": "201-847-8585",
            "fax_number": "201-847-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "QA00873100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safwat Ragheb Shenouda, P.T.
• Ariella Maya Shlugleyt, PA-C
• James Siegel, PA-C
• Harjot Singh, PTA
• Meghan Cathleen Smith, MS, CCC-SLP, TSSLD
• Joo Yeon Son, PT, DPT
• Amit Sood, MD
• Brianna Sparano
• Sportsmed Acupuncture LLC
• Sportsmed Chiropractic LLC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.