Organization Active NPI

J&R Physical Therapy, LLC

  • Physical Therapist
  • Bayonne, NJ
National Provider Identifier
1164528287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00517500 Issued in NJ
Legal business name
J&R PHYSICAL THERAPY, LLC
Practice address
415 Avenue a
Bayonne, NJ 07002-1504
Phone
(201) 858-0786
Fax
(201) 858-0786
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roger Rudzinski, P.T.NPI 1699871731
Title
Partner
Phone
(201) 858-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA00517500 NJ Primary

Addresses

Primary practice location

415 Avenue a
Bayonne, NJ 07002-1504

Mailing address

415 Avenue a
Bayonne, NJ 07002-1504
Phone (201) 858-0786

Other identifiers 2

IdentifierTypeStateIssuer
DE9058OtherNJRAILROAD MEDICARE GROUP #
2523576OtherNJUNITED HEALTHCARE ID#

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164528287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AVENUE A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021504",
            "telephone_number": "201-858-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AVENUE A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021504",
            "telephone_number": "201-858-0786",
            "fax_number": "201-858-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&R PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDZINSKI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-858-0786",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00517500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DE9058",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "2523576",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.