Jaroslaw Moczerniuk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01323400 Issued in NJ

Practice address

100 Craig Rd
Ste 108
Manalapan, NJ 07726-8731

Phone

(732) 462-2162

Fax

(732) 462-2137

NPI assigned

Aug 18, 2009

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DB Orthopedic Physical Therapy of Manalapan, LLCGroup PAC ID 1951554054, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20559/brand/1/csg/1/fhir/r4

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

• DB Orthopedic Physical Therapy of Manalapan, LLC

  dba db OrthoPT - Manalapan

  • Physical Therapist
  • Manalapan, NJ
  • NPI 1922343276
  Medicare reassignment Care Compare group NPD
• DB Orthopedic Physical Therapy, PC

  dba db OrthoPT - Red Bank

  • Physical Therapist
  • Red Bank, NJ
  • NPI 1619133618
  Medicare reassignment NPD

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1033341581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD",
            "address_2": "STE 108",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268731",
            "telephone_number": "732-462-2162",
            "fax_number": "732-462-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRAIG RD",
            "address_2": "STE 108",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268731",
            "telephone_number": "732-462-2162",
            "fax_number": "732-462-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZERNIUK",
        "first_name": "JAROSLAW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01323400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "166783",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Minassian, DMD
• Mira Vie at Manalapan Opco LLC (Mira Vie at Manalapan)
• Marina Mishriky
• Kavita Mistry
• Alexandra Mitchell
• Modern Medical Imaging at Atrium (Atrium Imaging Associates)
• Susan Mohr, LCSW
• MC Laney Moise
• Sajida Habib Mokhashi, M.D.
• Walter Joseph Molokie, RPH

• Physical Therapist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.