Individual provider Active NPI

Brant V Navoa, PT

  • Physical Medicine & Rehabilitation Physician
  • Columbus, NJ
National Provider Identifier
1114125481
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA01230600 Issued in NJ
Practice address
23659 Columbus Rd
Suite 3
Columbus, NJ 08022-1979
Phone
(609) 324-1200
Fax
(609) 324-1444
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA01230600 NJ Primary

Addresses

Primary practice location

23659 Columbus Rd
Suite 3
Columbus, NJ 08022-1979

Mailing address

127 Ark Rd
Ste 23
Mount Laurel, NJ 08054-6304
Phone (609) 324-1200

Other identifiers 1

IdentifierTypeStateIssuer
900148721OtherNJGOUP TAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000183 NJ Practitioner - Physical Therapist in Private Practice 4789772773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
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)

127 Ark Rd
Suite 23
Mount Laurel, NJ 08054-6302
Phone (856) 608-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Medicine & Rehabilitation CurrentSince Sep 1, 2017 Accepting new patients
Ivyrehab Network Inc. Current Accepting new patients
Ivyrehab Network Inc CurrentSince Sep 1, 2017 Accepting new patients

Locations (25 of 50)

15 Newark Ave
Ste 101
Belleville, NJ 07109

1255 Broad St
Ste 207
Bloomfield, NJ 07003
Phone (973) 771-9500

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

95 W Main St
Ste 6
Chester, NJ 07930
Phone (908) 879-7364

2200 Wallace Blvd
Ste E
Cinnaminson, NJ 08077
Phone (856) 829-0015

925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705

1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200

23659 Columbus Rd
Columbus, NJ 08022
Phone (609) 298-3304

23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200

23659 Columbus Rd
Ste 3
Columbus, NJ 08022
Phone (609) 324-1200

210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237

579 Cranbury Rd
Ste C
East Brunswick, NJ 08816
Phone (732) 432-0733

300 Princeton Hightstown Rd
Ste 201
East Windsor, NJ 08520
Phone (609) 426-4442

45 Broad St
Elmer, NJ 08318
Phone (856) 358-6200

15 Nathaniel Pl
Englewood, NJ 07631
Phone (201) 731-8580

187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655

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

795 Franklin Ave
Ste 1
Franklin Lakes, NJ 07417
Phone (201) 847-8585

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

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

450 Amwell Rd
Ste 7
Hillsborough, NJ 08844
Phone (908) 359-3744

79 Hudson St
Ste 402
Hoboken, NJ 07030
Phone (201) 792-1170

254 Newark Ave
Jersey City, NJ 07302
Phone (551) 222-4396

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1114125481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ARK RD",
            "address_2": "STE 23",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546304",
            "telephone_number": "609-324-1200",
            "fax_number": "609-324-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23659 COLUMBUS RD",
            "address_2": "SUITE 3",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221979",
            "telephone_number": "609-324-1200",
            "fax_number": "609-324-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVOA",
        "first_name": "BRANT",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01230600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOUP TAX ID",
            "identifier": "900148721",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.