BCN Physical Therapy LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

QA06268 Issued in NJ

Legal business name

BCN PHYSICAL THERAPY LLC

Practice address

12 Holmes St
Millburn, NJ 07041-1602

Phone

(908) 797-2888

Fax

(973) 379-7783

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Joseph Roman, PH.D., PTNPI 1700949039

Title

Owner

Phone

(908) 797-2888

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Joseph Roman, PH.D., P.T.

  • Physical Therapist
  • Millburn, NJ
  • NPI 1700949039

  NJ, Physical Therapist

  Medicare reassignment NPD Authorized official
• Kim M Janeck, PT

  • Physical Therapist
  • Rutherford, NJ
  • NPI 1689742355
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1407017353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOLMES ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411602",
            "telephone_number": "908-797-2888",
            "fax_number": "973-379-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOLMES ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411602",
            "telephone_number": "908-797-2888",
            "fax_number": "973-379-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-797-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": "QA06268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnabas Health Medical Group PC
• Nicholas Richard Barrese, DMD
• Jane Susan Barrow, L.C.S.W.
• Bella E Baum, PA-C
• Alpeshkumar Bavishi, M.D.
• Peter Jason Benisch, D.M.D.
• Anne Bentley-Fell, O.T.
• Andrew Berens, M.D.
• Rosemary Bergamini
• Beth Israel Medicial Center

• All providers in Millburn, NJ
• Physical Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.