Roberto E Yanez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00393000 Issued in NJ

Practice address

284 Delsea Dr
Sewell, NJ 08080-9469

Phone

(856) 534-1052

Fax

(856) 881-0077

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Polaris Physical Therapy,P.C.

  • Orthopedic Physical Therapist
  • Sewell, NJ
  • NPI 1073678751
  NPD (past) Authorized official
• Affiliated Physicians Network, P.C.

  • Chiropractor
  • Woodbury Heights, NJ
  • NPI 1396850228
  NPD (past)
• Gloucester Physical Therapy, PC

  • Physical Therapist
  • Paulsboro, NJ
  • NPI 1295837722
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1376565242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740/750 MANTUA PIKE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971149",
            "telephone_number": "856-853-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 DELSEA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809469",
            "telephone_number": "856-534-1052",
            "fax_number": "856-881-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEZ",
        "first_name": "ROBERTO",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00393000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11393208",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN",
            "identifier": "0300795000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Wood, MPT
• Woodbury TLC Transport, Inc
• WRP Operating Washington NJ, LLC
• WSSH Sundance Rehab, LLC
• Lilly Yam
• Steven Yang, PMHNP-BC
• Fe Kathleen Yape, PT
• Sivaraman Yegya-Raman, MD
• Pierrette K. Yeo
• Ben Yeung, PA-C

• Physical Therapist in Sewell, NJ
• Providers in Sewell, 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 Feb 14, 2008; 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.