Individual provider Active NPI

Lauren Wiseman

  • Physical Therapist
  • Holmdel, NJ
National Provider Identifier
1265959092
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01749200 Issued in NJ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171204002176 NJ Practitioner - Physical Therapist in Private Practice 2769749571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Bell Wellness LLCGroup PAC ID 4880022524, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Generations Physical Medicine LLC Physical Therapist CurrentSince Nov 13, 2021 Accepting new patients
Denville Physical Therapy, LLC Physical Therapist CurrentSince Sep 11, 2017 Accepting new patients
Neurosurgical Associates of New Jersey, P.C. CurrentSince Dec 1, 2024 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.

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

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.

Verify at the official NPI Registry.