Individual provider Active NPI

Philip Ceraulo, DO

  • Physical Medicine & Rehabilitation Physician
  • Union, NJ
National Provider Identifier
1114180882
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08316500 Issued in NJ
Practice address
2500 Morris Ave Ste 220
Union, NJ 07083-5675
Phone
(732) 906-9600
Fax
(732) 377-0393
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB08316500 NJ Primary
Pain Medicine Physician 208VP0000X 25MB08316500 NJ

Addresses

Primary practice location

2500 Morris Ave Ste 220
Union, NJ 07083-5675

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

3540 John F Kennedy Blvd
Jersey City, NJ 07307-3450
Phone (732) 906-9600

Other practice location 2

10 Parsonage Rd Ste 208
Edison, NJ 08837-2429
Phone (732) 906-9600

Other practice location 3

2500 Morris Ave Ste 220
Union, NJ 07083-5675
Phone (732) 906-9600

Other practice location 4

922 Main St Ste 201
Paterson, NJ 07503-2602
Phone (732) 906-9600

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address philip.ceraulo.1@21449.direct.athenahealth.com
Direct Messaging Address philip.ceraulo.1@21449.direct.athenahealth.com
Direct Messaging Address philip.ceraulo.1@21449.direct.athenahealth.com
Direct Messaging Address philip.ceraulo.1@21449.direct.athenahealth.com
Direct Messaging Address philip.ceraulo.1@21449.direct.athenahealth.com
Direct Messaging Address philip.ceraulo.1@21449.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000502 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4587702196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC Physical Medicine & Rehabilitation CurrentSince Jul 15, 2022 Accepting new patients
Premier Brain and Spine, LLC Physical Medicine & Rehabilitation CurrentSince Jul 15, 2022 Accepting new patients
Freeman Pain Institute PA Physical Medicine & Rehabilitation CurrentSince Aug 17, 2009 Accepting new patients

Locations

11 W 25th St
Ste 220
Bayonne, NJ 07002

102 James St
Ste 101
Edison, NJ 08820
Phone (855) 809-9600

10 Parsonage Rd
Ste 208
Edison, NJ 08837
Phone (732) 688-9083

901 W Main St
Ste 240
Freehold, NJ 07728
Phone (732) 252-6688

3540 John F Kennedy Blvd
Jersey City, NJ 07307
Phone (201) 333-2221

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

201 State Rt 17
Fl 1202
Rutherford, NJ 07070
Phone (201) 975-2323

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1114180882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MORRIS AVE STE 220",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835675",
            "telephone_number": "732-906-9600",
            "fax_number": "732-377-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073073450",
            "country_code": "US",
            "telephone_number": "732-906-9600",
            "fax_number": "833-449-3389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Parsonage Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372429",
            "country_code": "US",
            "telephone_number": "732-906-9600",
            "fax_number": "732-377-0393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Morris Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070835675",
            "country_code": "US",
            "telephone_number": "732-906-9600",
            "fax_number": "732-906-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "922 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032602",
            "country_code": "US",
            "telephone_number": "732-906-9600",
            "fax_number": "732-377-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERAULO",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08316500",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MB08316500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.ceraulo.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "922 Main St Ste 201",
            "city": "Paterson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075032602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.ceraulo.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2500 Morris Ave Ste 220",
            "city": "Union",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070835675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.ceraulo.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10 Parsonage Rd Ste 208",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088372429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.ceraulo.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "11 W 25th St Ste 220",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070023800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.ceraulo.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "201 Route 17 Fl 1202",
            "city": "Rutherford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070702557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.ceraulo.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "901 W Main St Ste 240",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077282537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.