Jeremy Paster, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01688000 Issued in NJ

Practice address

1215 Wyckoff Rd
Wall Township, NJ 07727

Phone

(732) 740-5384

NPI assigned

Aug 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Game Changer Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Wall Township, NJ
  • NPI 1427677509
  NPD Authorized official
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1124574124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WELLINGTON CT",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263217",
            "telephone_number": "732-740-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WYCKOFF RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "07727",
            "telephone_number": "732-740-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Ridgedale Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079272111",
            "country_code": "US",
            "telephone_number": "973-605-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTER",
        "first_name": "JEREMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01688000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthonj LLC
• Samantha Marie Osso, MS, LPC, NCC
• Katya Palsi, LSW
• Lorraine Mary Parker, MA,CCC-SLP
• Partners in Freedom LLC
• Pathmark Stores Inc
• Yasenya Pedraza, RBT
• Susan H Penczak, DC
• Phyllis R Penkethman, M.S., CCC-SLP
• Salvatore Pepe IV, DO

• Physical Therapist in Wall Township, NJ
• Providers in Wall Township, 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 Aug 27, 2019; 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.