Individual provider Active NPI

Lauren Cerullo, MPT

  • Physical Therapist
  • Belleville, NJ
National Provider Identifier
1285668889
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA10818 Issued in NJ
Practice address
77 Newark Ave
Suite 4
Belleville, NJ 07109-4143
Phone
(201) 759-1100
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 QA10818 NJ Primary

Addresses

Primary practice location

77 Newark Ave
Suite 4
Belleville, NJ 07109-4143

Mailing address

162 Valley Rd
River Edge, NJ 07661-1043
Phone (201) 741-6935

Other names 1

  • Lauren Dowd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA10818NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince May 1, 2019 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Feb 26, 2020 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Feb 26, 2020 Accepting new patients
Optimum Orthopedics Physical Therapy and Rehabilitation Center, LLC Physical Therapist Past Accepting new patients
Interventional Pain Management & Rehab. PC. Past Accepting new patients
Optimum Orthopedics Physical Therapy & Rehab Center II LLC Physical Therapist Past Accepting new patients
Major Adjustments, Inc Physical Therapist PastSince Mar 20, 1997 Accepting new patients

Locations

177 N Dean St
Ste 3
Englewood, NJ 07631
Phone (201) 408-4477

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

1 Greenwood Ave
#11
Montclair, NJ 07042
Phone (973) 746-2424

1 Greenwood Ave
Ste 100
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

168 Franklin Tpke
Ste 103B
Waldwick, NJ 07463
Phone (201) 493-7440

576 Broadhollow Rd
Melville, NY 11747

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1285668889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 VALLEY RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611043",
            "telephone_number": "201-741-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NEWARK AVE",
            "address_2": "SUITE 4",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094143",
            "telephone_number": "201-759-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERULLO",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA10818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DOWD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.