Individual provider Active NPI

Lance M Baumgartner, DPT

  • Physical Therapist
  • Newton, NJ
National Provider Identifier
1194159798
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA015156100 Issued in NJ
Practice address
280 Newton Sparta Rd
Ste 8
Newton, NJ 07860-2775
Phone
(973) 579-2957
Fax
(973) 579-3321
NPI assigned
Aug 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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 40QA015156100 NJ Primary

Addresses

Primary practice location

280 Newton Sparta Rd
Ste 8
Newton, NJ 07860-2775

Mailing address

1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131104001206 NJ Practitioner - Physical Therapist in Private Practice 1456586270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

243 Sparta Ave
Suite 2
Sparta, NJ 07871-1143
Phone (973) 512-3180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA015156100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Physical Therapy of NJ Current Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Sep 3, 2013 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 3, 2013 Accepting new patients

Locations (25 of 49)

15 Newark Ave
Ste 101
Belleville, NJ 07109

1255 Broad St
Ste 207
Bloomfield, NJ 07003
Phone (973) 771-9500

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

95 W Main St
Ste 6
Chester, NJ 07930
Phone (908) 879-7364

2200 Wallace Blvd
Ste E
Cinnaminson, NJ 08077
Phone (856) 829-0015

1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200

925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705

23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200

210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237

579 Cranbury Rd
Ste C
East Brunswick, NJ 08816
Phone (732) 432-0733

300 Princeton Hightstown Rd
Ste 201
East Windsor, NJ 08520
Phone (609) 426-4442

45 Broad St
Elmer, NJ 08318
Phone (856) 358-6200

15 Nathaniel Pl
Englewood, NJ 07631
Phone (201) 731-8580

187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

795 Franklin Ave
Ste 1
Franklin Lakes, NJ 07417
Phone (201) 847-8585

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646

450 Amwell Rd
Ste 7
Hillsborough, NJ 08844
Phone (908) 359-3744

79 Hudson St
Ste 402
Hoboken, NJ 07030
Phone (201) 792-1170

254 Newark Ave
Jersey City, NJ 07302
Phone (551) 222-4396

344 Delsea Dr
Ste 4
Malaga, NJ 08328
Phone (856) 694-0881

773 Route 70 E
Ste E110
Marlton, NJ 08053
Phone (856) 282-0339

Organizations & group practices 3

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": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1194159798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY",
            "address_2": "STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD",
            "address_2": "STE 8",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602775",
            "telephone_number": "973-579-2957",
            "fax_number": "973-579-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "LANCE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA015156100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.