Brendan Christopher Rooney, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02197900 Issued in NJ

Practice address

211 Berdan Ave
Wayne, NJ 07470-3236

Phone

(201) 834-7051

NPI assigned

Sep 5, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• New Jersey Rehabilitation

  • Multi-Specialty Clinic/Center
  • Shrewsbury, NJ
  • NPI 1013801604
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1316723463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BRAEN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BERDAN AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703236",
            "telephone_number": "201-834-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "BRENDAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02197900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omara Judith Rogalsky, FNP
• Rogers Dental Group LLC
• Sylvia Podbor Rogers, D.M.D.
• Daniela Roma, LAC
• Sarah Romeo
• Mark S. Rosenthal, MD
• Debra L Rosenzweig, MD
• Stephanie L Roseti, RN, MSN, ANP
• Julia Rossetti
• Caitlin Ashley Rossettini, OTR/L

• Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.