Active NPI
Rosauro Mendoza Aquino, PT
- Physical Therapist
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00997600
- Practice address
- 28-12 Broadway
Fair Lawn, NJ 07410-3924 - Phone
- (201) 475-8482
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 022156-1 | NY | |
| Physical Therapist | 225100000X | 40QA00997600 | NJ | Primary |
Addresses
Primary practice location
28-12 Broadway
Fair Lawn, NJ 07410-3924
Mailing address
28 Crossgate Rd FL 1
Jersey City, NJ 07305-1206
Phone (201) 779-4393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181114002297 | NJ | Practitioner - Physical Therapist in Private Practice | 6507110319 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Network Inc
Practice addresses (Care Compare)
79 Hudson St
Hoboken, NJ 07030-5638
Phone (201) 792-1170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00997600 | NJ | MD | Physical Therapist |
| 022156-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Augustin Physical Therapy and Sports Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Jeffrey F. Augustin, M.D. P.a. | Current | Accepting new patients |
Locations (25 of 50)
526 Broadway
Bayonne, NJ 07002
Phone (201) 437-9700
864 Broadway
Bayonne, NJ 07002
Phone (201) 339-1109
15 Newark Ave
Ste 101
Belleville, NJ 07109
1255 Broad St
Ste 207
Bloomfield, NJ 07003
Phone (973) 771-9500
243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630
70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700
1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000
95 W Main St
Ste 6
Chester, NJ 07930
Phone (908) 879-7364
2200 Wallace Blvd
Ste E
Cinnaminson, NJ 08077
Phone (856) 829-0015
925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705
1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200
23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200
210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237
579 Cranbury Rd
Ste C
East Brunswick, NJ 08816
Phone (732) 432-0733
300 Princeton Hightstown Rd
Ste 201
East Windsor, NJ 08520
Phone (609) 426-4442
45 Broad St
Elmer, NJ 08318
Phone (856) 358-6200
15 Nathaniel Pl
Englewood, NJ 07631
Phone (201) 731-8580
187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
795 Franklin Ave
Ste 1
Franklin Lakes, NJ 07417
Phone (201) 847-8585
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646
450 Amwell Rd
Ste 7
Hillsborough, NJ 08844
Phone (908) 359-3744
79 Hudson St
Hoboken, NJ 07030
Phone (201) 792-1170
79 Hudson St
Ste 402
Hoboken, NJ 07030
Phone (201) 792-1170
Organizations & group practices 13
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.
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Morristown, NJ
- NPI 1083445092
-
- Physical Therapist
- Raritan, NJ
- NPI 1497352041
-
- Physical Medicine & Rehabilitation Physician
- Denville, NJ
- NPI 1124646617
-
- Physical Medicine & Rehabilitation Physician
- Westfield, NJ
- NPI 1134859408
-
- Physical Medicine & Rehabilitation Physician
- Garwood, NJ
- NPI 1497586416
-
- Physical Medicine & Rehabilitation Physician
- Manalapan, NJ
- NPI 1609607621
-
- Physical Medicine & Rehabilitation Physician
- Monroe Township, NJ
- NPI 1720703523
-
- Physical Medicine & Rehabilitation Physician
- Medford, NJ
- NPI 1831717404
-
- Physical Medicine & Rehabilitation Physician
- Mount Laurel, NJ
- NPI 1861193187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536364800000",
"number": "1295809135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CROSSGATE RD FL 1",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051206",
"telephone_number": "201-779-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28-12 BROADWAY",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103924",
"telephone_number": "201-475-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "ROSAURO",
"middle_name": "MENDOZA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2018-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022156-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00997600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.