Individual provider Active NPI

Giancarlo Rozon

  • Physical Therapist
  • Westwood, NJ
National Provider Identifier
1407310683
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01841000 Issued in NJ
Practice address
223 Old Hook Rd
Westwood, NJ 07675-3132
Phone
(201) 666-2056
NPI assigned
Jan 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01841000 NJ Primary

Addresses

Primary practice location

223 Old Hook Rd
Westwood, NJ 07675-3132

Mailing address

56 Jay Dr
Paramus, NJ 07652-2320
Phone (201) 245-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117000616 NJ Practitioner - Physical Therapist in Private Practice 8729413885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edge Physical Therapy and Sports Medicine LLCGroup PAC ID 0143523720, 3 clinicians

Practice addresses (Care Compare)

80 Route 4 E
Suite 100
Paramus, NJ 07652-2647
Phone (201) 845-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edge Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince Nov 1, 2019 Accepting new patients
Peak Performance Physical Therapy and Sports Medicine Physical Therapist CurrentSince Jan 16, 2022 Accepting new patients

Locations

80 E State Rt 4
Ste 100
Paramus, NJ 07652
Phone (201) 255-4040

Organizations & group practices 2

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1407310683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 JAY DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522320",
            "telephone_number": "201-245-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753132",
            "telephone_number": "201-666-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZON",
        "first_name": "GIANCARLO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01841000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.