Individual provider Active NPI

Jesusa Corazon Ramos, PT

  • Physical Therapist
  • Florham Park, NJ
National Provider Identifier
1164582060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01195300 Issued in NJ
Practice address
171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Phone
(973) 377-6327
Fax
(973) 408-9055
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01195300 NJ Primary

Addresses

Primary practice location

171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764

Mailing address

171 Ridgedale Ave
Suite a
Florham Park, NJ 07932-1764
Phone (973) 377-6327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061222000231 NJ Practitioner - Physical Therapist in Private Practice 1658371612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denville Medical Associates, LLCGroup PAC ID 4385116250, 3 clinicians

Practice addresses (Care Compare)

161 E Main St
Suite 201
Denville, NJ 07834-2647
Phone 9736277888124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01195300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denville Medical Health Center & Sports Rehab P.C. CurrentSince Jun 15, 2022 Accepting new patients
Total Health Physical Medicine and Rehab Center CurrentSince Jul 3, 2006 Accepting new patients
Total Health Physical Medicine & Rehabilitation Center LLC Physical Therapist CurrentSince Jul 3, 2006 Accepting new patients

Locations

161 E Main St
Ste 200
Denville, NJ 07834
Phone (973) 627-7888

161 E Main St
Ste 2
Denville, NJ 07834

171 Ridgedale Ave
Ste A
Florham Park, NJ 07932
Phone (973) 377-6327

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164582060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE",
            "address_2": "SUITE A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-6327",
            "fax_number": "973-408-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE",
            "address_2": "SUITE A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-6327",
            "fax_number": "973-408-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JESUSA",
        "middle_name": "CORAZON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01195300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.