Organization Active NPI

Jersey PM & R LLC

  • Physical Medicine & Rehabilitation Physician
  • Monroe TWP, NJ
National Provider Identifier
1225223852
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA07358200 Issued in NJ
Legal business name
JERSEY PM & R LLC
Practice address
1 Tanglewood PL E
Monroe TWP, NJ 08831-3268
Phone
(908) 601-5296
Fax
(866) 506-2790
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Dr. Corazon CipriasoNPI 1851371801
Title
Owner
Phone
(908) 601-5296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 25MA07358200 NJ Primary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X

Addresses

Primary practice location

1 Tanglewood PL E
Monroe TWP, NJ 08831-3268

Mailing address

1 Tanglewood PL E
Monroe TWP, NJ 08831-3268
Phone (908) 601-5296

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001369 NJ Part B Supplier - Clinic/Group Practice 9032000278 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe Township, NJ

National Provider Directory

National Provider Directory

Locations

166 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 842-6600

25 Mule Rd
Unit B1
Toms River, NJ 08755
Phone (732) 286-2565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1225223852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TANGLEWOOD PL E",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088313268",
            "telephone_number": "908-601-5296",
            "fax_number": "866-506-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TANGLEWOOD PL E",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088313268",
            "telephone_number": "908-601-5296",
            "fax_number": "866-506-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY PM & R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "CIPRIASO",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-601-5296",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07358200",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.