Individual provider Active NPI

Jonathan Kronenberg, DPT

  • Physical Therapist
  • West Orange, NJ
National Provider Identifier
1215279815
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01997800 Issued in NJ
Practice address
622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone
(973) 669-0078
NPI assigned
Mar 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 036118 NY
Physical Therapist 225100000X 40QA01997800 NJ Primary

Addresses

Primary practice location

622 Eagle Rock Ave
West Orange, NJ 07052-2994

Mailing address

981 Rte 22 FL 2
Bridgewater, NJ 08807-2946
Phone (201) 801-7141

Other practice location 1

1715 Avenue T
Brooklyn, NY 11229-3404
Phone (718) 336-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130612000428 NY Practitioner - Physical Therapist in Private Practice 6507005170 Reassigns benefits to 1 organization
I20210824001859 NJ Practitioner - Physical Therapist in Private Practice 6507005170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone (973) 669-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Prestige Physical Therapy and Wellness LLC Physical Therapist CurrentSince Dec 30, 2024 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince May 20, 2021 Accepting new patients

Locations

909 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-6981

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

194 Joralemon St
Brooklyn, NY 11201
Phone (718) 643-7116

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

4010 Avenue U
Brooklyn, NY 11234
Phone (718) 692-1155

1243 Woodrow Rd
Ste 321
Staten Island, NY 10309

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1215279815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 RTE 22 FL 2",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072946",
            "telephone_number": "201-801-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "973-669-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1715 Avenue T",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112293404",
            "country_code": "US",
            "telephone_number": "718-336-8206",
            "fax_number": "718-336-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRONENBERG",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036118",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01997800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.