Active NPI
Salvacion V Rollan, PHYSICAL THERAPIST
- Physical Therapist
- Bayonne, NJ
National Provider Identifier
1316167331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT402A00949400
- Practice address
- 801 Kennedy Boulevard
Bayonne, NJ 07002 - Phone
- (201) 437-0250
- Fax
- (201) 436-4191
- NPI assigned
- May 1, 2007
- 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 | 019865-1 | NY | |
| Physical Therapist | 225100000X | PT402A00949400 | NJ | Primary |
Addresses
Primary practice location
801 Kennedy Boulevard
Bayonne, NJ 07002
Mailing address
801 Kennedy Boulevard
Bayonne, NJ 07002
Phone (201) 437-0250
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019865 | NY | MD | Clinical Psychologist |
| PT402A00949400 | NJ | MD | Physical Therapist |
| 019865-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Family Chiropractic Center PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Bayonne, NJ
- NPI 1679642342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1316167331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 KENNEDY BOULEVARD",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-437-0250",
"fax_number": "201-436-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 KENNEDY BOULEVARD",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-437-0250",
"fax_number": "201-436-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLAN",
"first_name": "SALVACION",
"middle_name": "V",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019865-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "PT402A00949400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.