Individual provider Active NPI

Rosauro Mendoza Aquino, PT

  • Physical Therapist
  • Fair Lawn, NJ
National Provider Identifier
1295809135
Registry record updated Sep 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00997600 Issued in NJ
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

Updated by the provider on Sep 8, 2018

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 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 IDStateProvider typePAC IDDetails
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 658 clinicians

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

LicenseStateTypeSpecialty
40QA00997600NJMDPhysical Therapist
022156-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Oct 24, 2018 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 24, 2018 Accepting new patients
Augustin Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Nov 8, 2022 Accepting new patients
Jeffrey F. Augustin, M.D. P.a. CurrentSince Feb 25, 2020 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.

View all 13

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.

Verify at the official NPI Registry.