Active NPI
Frank Poveromo, PT, DPT
- Physical Therapist
- Egg Harbor Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02222500
- Practice address
- 3121 Fire Rd Ste D
Egg Harbor Township, NJ 08234-9619 - Phone
- (609) 377-8881
- NPI assigned
- Nov 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02222500 | NJ | Primary |
Addresses
Primary practice location
3121 Fire Rd Ste D
Egg Harbor Township, NJ 08234-9619
Mailing address
PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
331 Tilton Rd
Suite 2a
Northfield, NJ 08225-1248
Phone (609) 241-6339
6106 Black Horse Pike
Suite A3
Egg Harbor TWP, NJ 08234-9703
Phone (609) 415-2821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02222500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Richard Carlson LLC | Current | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
6106 Black Horse Pike
Ste A3
Egg Hbr Twp, NJ 08234
Phone (609) 415-2821
331 Tilton Rd
Ste 2A
Northfield, NJ 08225
Phone (609) 383-3313
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
Organizations & group practices 2
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.
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
-
- Chiropractor
- Egg Harbor City, NJ
- NPI 1629492434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1114791233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1014",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661014",
"telephone_number": "732-855-9751",
"fax_number": "732-855-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 FIRE RD STE D",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082349619",
"telephone_number": "609-377-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POVEROMO",
"first_name": "FRANK",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02222500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.