Active NPI
Lauren Wiseman
- Physical Therapist
- Holmdel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01749200
- Practice address
- 101 Crawfords Corner Road
Suite 1116D
Holmdel, NJ 07733-1977 - Phone
- (732) 226-0018
- NPI assigned
- Aug 23, 2017
- Last updated
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 40QA01749200 | NJ | Primary |
Addresses
Primary practice location
101 Crawfords Corner Road
Suite 1116D
Holmdel, NJ 07733-1977
Mailing address
9 Whitesands Way
Little Silver, NJ 07739-1240
Phone (732) 977-1217
Other practice location 1
3155 Route 10 East
Suite 112
Denville, NJ 07834
Phone (973) 366-1600
Other names 1
- Lauren Farrar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
101 Crawfords Corner Rd
Suite 1116D
Holmdel, NJ 07733-1977
Phone (732) 226-0018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Physical Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Denville Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Neurosurgical Associates of New Jersey, P.C. | Current | Accepting new patients | |
| Valley Physician Services PC | Past | Accepting new patients |
Locations
3155 State Route 10
Ste 112
Denville, NJ 07834
Phone (973) 366-1600
101 Crawfords Corner Rd
Ste 1116A
Holmdel, NJ 07733
101 Crawfords Corner Rd
Ste 1116D
Holmdel, NJ 07733
Phone (732) 226-0018
14 Cherry Tree Farm Rd
Middletown, NJ 07748
Phone (732) 671-3535
1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600
121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Holmdel, NJ
- NPI 1396384848
-
dba Carroll Physical Therapy
- Orthopedic Physical Therapist
- Denville, NJ
- NPI 1265830830
-
- Neurological Surgery Physician
- Ridgewood, NJ
- NPI 1992753594
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1265959092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WHITESANDS WAY",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391240",
"telephone_number": "732-977-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CRAWFORDS CORNER ROAD",
"address_2": "SUITE 1116D",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331977",
"telephone_number": "732-226-0018"
}
],
"practiceLocations": [
{
"address_1": "3155 Route 10 East",
"address_2": "Suite 112",
"address_purpose": "LOCATION",
"city": "Denville",
"state": "NJ",
"postal_code": "07834",
"country_code": "US",
"telephone_number": "973-366-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISEMAN",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2024-11-14",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01749200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "FARRAR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holmdel, NJ
- Daniel Marc Weiner, M.D.
- Wellspring Health Center LLC
- Whidbey Island Public Hospital District
- Wildflowers Therapy LLC
- William E Smeltzer & James M Spitalny PTRS
- Mary Beth Witkowski, M.D.,F.A.C.O.G.
- Sanford Wohlstadter, M.D.,F.A.C.O.G.
- Wolf Podiatry LLC
- Veronica R Wolf, DPM
- Women's Medical Connection, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.