Individual provider Active NPI

Jerome Joseph Ortega, DPT

  • Physical Therapist
  • Bound Brook, NJ
National Provider Identifier
1184925372
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00827000 Issued in NJ
Practice address
1952 Route 22 E
Suite 101
Bound Brook, NJ 08805-1545
Phone
(732) 805-9005
Fax
(732) 805-9015
NPI assigned
Nov 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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 40QA00827000 NJ Primary

Addresses

Primary practice location

1952 Route 22 E
Suite 101
Bound Brook, NJ 08805-1545

Mailing address

11 Eagle Rock Ave
Suite 201
East Hanover, NJ 07936-3167
Phone (973) 887-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000758 NJ Practitioner - Physical Therapist in Private Practice 1153505698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Pain and Rehabilitation PCGroup PAC ID 1557460714, 4 clinicians

Practice addresses (Care Compare)

1985 Hwy 34 S
Unit 6a
Wall, NJ 07719-1000
Phone (732) 345-1377

3100 Route 138
Suite 3
Wall Township, NJ 07719-9021

3100 RT
138 BLDG 3
Wall, NJ 07719-9021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Pain and Rehabilitation PC CurrentSince Oct 1, 2021 Accepting new patients
Monmouth Pain and Rehabiliation PC CurrentSince Oct 1, 2021 Accepting new patients
Sportscare of America, PC Physical Therapist PastSince Jan 10, 2007 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

Locations

747 Lacey Rd
Forked River, NJ 08731

20 Thoreau Dr
Freehold, NJ 07728
Phone (732) 303-1425

2700 Bridge Ave
Ste 1
Point Pleasant Boro, NJ 08742
Phone (732) 475-7690

174 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 842-7614

3100 State Route 138
Ste 3
Wall Township, NJ 07719
Phone (732) 280-9500

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1184925372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "SUITE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 ROUTE 22 E",
            "address_2": "SUITE 101",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051545",
            "telephone_number": "732-805-9005",
            "fax_number": "732-805-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "JEROME",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00827000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.