Individual provider Active NPI

Lauren Carrie Moczerniuk, PT, DPT

  • Physical Therapist
  • West Long Branch, NJ
National Provider Identifier
1093012429
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01253500 Issued in NJ
Practice address
232 Norwood Ave
West Long Branch, NJ 07764-1859
Phone
(732) 923-1500
NPI assigned
Feb 21, 2011
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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 40QA01253500 NJ Primary

Addresses

Primary practice location

232 Norwood Ave
West Long Branch, NJ 07764-1859

Mailing address

232 Norwood Ave
West Long Branch, NJ 07764
Phone (732) 932-1500

Other names 1

  • Lauren Carrie Davies Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000479 NJ Practitioner - Physical Therapist in Private Practice 3476739186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01253500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Andrus Physical Therapy LLC Physical Therapist CurrentSince Aug 27, 2012 Accepting new patients
Sports Care and Physical Rehabilitation Inc. Physical Therapist Past Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

14 Bridgewaters Dr
Ste B
Oceanport, NJ 07757

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

232 Norwood Ave
Ste 105
West Long Branch, NJ 07764
Phone (732) 923-1500

232 Norwood Ave
Ste C
West Long Branch, NJ 07764
Phone (732) 923-1500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1093012429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 NORWOOD AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "07764",
            "telephone_number": "732-932-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 NORWOOD AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641859",
            "telephone_number": "732-923-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZERNIUK",
        "first_name": "LAUREN",
        "middle_name": "CARRIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01253500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DAVIES",
            "middle_name": "CARRIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.