Individual provider Active NPI

Rodine Charles Borja, PT, DPT

  • Physical Therapist
  • Edison, NJ
National Provider Identifier
1225637895
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01962600 Issued in NJ
Practice address
7 Lincoln Hwy Ste 101a
Edison, NJ 08820-3965
Phone
(732) 662-1800
Fax
(732) 662-1801
NPI assigned
Oct 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 40QA01962600 NJ Primary

Addresses

Primary practice location

7 Lincoln Hwy Ste 101a
Edison, NJ 08820-3965

Mailing address

16 Nagle Dr
Somerville, NJ 08876-1722
Phone (908) 392-6486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104002930 NJ Practitioner - Physical Therapist in Private Practice 0244640175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progression Physical Therapy of PrincetonGroup PAC ID 3577752682, 5 clinicians

Practice addresses (Care Compare)

601 Ewing St
Suite B9
Princeton, NJ 08540-2755
Phone (609) 454-3536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01962600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progression Physical Therapy of Princeton CurrentSince Mar 20, 2025 Accepting new patients
Innovative Diagnostics Laboratory LLC CurrentSince Apr 23, 2023 Accepting new patients

Locations

601 Ewing St
Ste B9
Princeton, NJ 08540
Phone (609) 454-3536

Organizations & group practices 2

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1225637895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NAGLE DR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761722",
            "telephone_number": "908-392-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LINCOLN HWY STE 101A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203965",
            "telephone_number": "732-662-1800",
            "fax_number": "732-662-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJA",
        "first_name": "RODINE CHARLES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01962600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.