Robert J Rosa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00929900 Issued in NJ

Practice address

1 Bethany Rd
Building 2, Suite 27
Hazlet, NJ 07730-1663

Phone

(732) 739-5545

Fax

(732) 739-5547

NPI assigned

Sep 22, 2006

Last updated

Jan 18, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD
• Ani Orthopaedics, P.C.

  • Orthopaedic Surgery Physician
  • Hazlet, NJ
  • NPI 1225174717
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1457450561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DANIEL DR",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302033",
            "telephone_number": "908-902-4892",
            "fax_number": "973-376-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD",
            "address_2": "BUILDING 2, SUITE 27",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301663",
            "telephone_number": "732-739-5545",
            "fax_number": "732-739-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00929900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Grace Richards, APN, PMHNP-BC
• Josephine Myunghi Rim, M.D.
• Rising Swell Mental Health LLC
• Rite Aid of New Jersey Inc (Rite Aid Pharmacy 00695)
• Jaclyn Mary Robinson, LAMFT
• Roseen Realty Corp (Arnold Walter Nursing Home)
• Mourad Roshdi
• Katherine Rubbe
• Neal Ruda, M.D.
• Vincent Victor Rullo Jr., DC

• Physical Therapist in Hazlet, NJ
• Providers in Hazlet, 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 Jan 18, 2013; 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.