Mark Edward Raum, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA04262 Issued in NJ

Practice address

46 Brunswick Rd
Cedar Grove, NJ 07009-1402

Phone

(973) 239-2553

Fax

(973) 239-2553

NPI assigned

Jan 26, 2008

Last updated

Jan 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201305600000",
    "number": "1033396601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BRUNSWICK RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091402",
            "telephone_number": "973-239-2553",
            "fax_number": "973-239-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BRUNSWICK RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091402",
            "telephone_number": "973-239-2553",
            "fax_number": "973-239-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUM",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA04262",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "QA04262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Swami Nathan, MD PA
• Courtney Taylor Raab, OTR/L
• Naipaul Rambaran, MD
• Randi E. Jeddis, MSW,LCSW,LLC
• Carlos R Rangel, MSPT, CWCE
• Cessna Jane Tusalem Redondo
• Beth-Ann Ribaudo, D.I.R.PRACTIONER
• Judith Ann Riekert, OTR/L
• Sage Nicholas Rivera
• Victoria Maria Rivera

• Physical Therapist in Cedar Grove, NJ
• Providers in Cedar Grove, 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 26, 2008; 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.