Individual provider Active NPI

John A Runfolo, PT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1194817858
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00705600 Issued in NJ
Practice address
600 Mule Rd Ste 1
Toms River, NJ 08757-6460
Phone
(732) 569-6556
NPI assigned
Sep 29, 2006
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 40QA00705600 NJ Primary

Addresses

Primary practice location

600 Mule Rd Ste 1
Toms River, NJ 08757-6460

Mailing address

50 Seton Hall Dr
Freehold, NJ 07728-8876
Phone (732) 845-0219

Other practice location 1

4400 US Highway 9
Suite 1500
Freehold, NJ 07728-1383
Phone (732) 625-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205002221 NJ Practitioner - Physical Therapist in Private Practice 6800804360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Chiropractic and Wellness Center, L.L.C.Group PAC ID 7416919808, 7 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

231 Maple Ave
Red Bank, NJ 07701-1745
Phone (732) 530-1164

600 Mule Rd
Suite 1
Toms River, NJ 08757-6460
Phone (732) 569-6556

Merit-based Incentive Payment System (MIPS)

Final score
82.07 of 100Reported as individual
Quality
81.28
Promoting interoperability
85
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients
Velocity Chiropractic and Wellness Center, L.L.C. CurrentSince Jan 2, 2015 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients

Locations

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

231 Maple Ave
Red Bank, NJ 07701
Phone (732) 530-1164

600 Mule Rd
Ste 1
Toms River, NJ 08757
Phone (732) 569-6556

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1194817858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SETON HALL DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288876",
            "telephone_number": "732-845-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MULE RD STE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087576460",
            "telephone_number": "732-569-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 US Highway 9",
            "address_2": "Suite 1500",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077281383",
            "country_code": "US",
            "telephone_number": "732-625-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNFOLO",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00705600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.