Individual provider Active NPI

Janine Elizabeth Negron, PT, DPT

  • Physical Therapy Clinic/Center
  • Colts Neck, NJ
National Provider Identifier
1396261350
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01746300 Issued in NJ
Practice address
415 Route 34 Ste 108
Colts Neck, NJ 07722-2523
Phone
(732) 858-1335
Fax
(732) 201-4563
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01746300 NJ Primary

Addresses

Primary practice location

415 Route 34 Ste 108
Colts Neck, NJ 07722-2523

Mailing address

83 Ira Ave
Colonia, NJ 07067-2434
Phone (908) 380-2549

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

LicenseStateTypeSpecialty
40QA01746300NJMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Performing Arts Physical Therapy LLC Current Accepting new patients

Locations

415 State Route 34
Ste 108
Colts Neck, NJ 07722
Phone (732) 858-1335

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.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1396261350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 IRA AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672434",
            "telephone_number": "908-380-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROUTE 34 STE 108",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222523",
            "telephone_number": "732-858-1335",
            "fax_number": "732-201-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "JANINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01746300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.