Individual provider Active NPI

Brandon Stoneking, P.T.

  • Physical Therapist
  • Ewing, NJ
National Provider Identifier
1467850156
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01373400 Issued in NJ
Practice address
1230 Parkway Ave
Suite 205
Ewing, NJ 08628-3018
Phone
(609) 883-7528
Fax
(609) 883-5947
NPI assigned
Dec 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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 40QA01373400 NJ Primary

Addresses

Primary practice location

1230 Parkway Ave
Suite 205
Ewing, NJ 08628-3018

Mailing address

1230 Parkway Ave
Suite 205
Ewing, NJ 08628-3018
Phone (609) 883-7528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150130001281 NJ Practitioner - Physical Therapist in Private Practice 9335463983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers School of Dental Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard L Stoneking, PT, PAGroup PAC ID 8224081732, 2 clinicians

Practice addresses (Care Compare)

1230 Pkwy Ave
Suite 205
Ewing, NJ 08628-3018
Phone (609) 883-7528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01373400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Stoneking, PT, PA Physical Therapist CurrentSince Dec 15, 2014 Accepting new patients

Locations

1230 Parkway Ave
Ste 205
Ewing, NJ 08628
Phone (609) 883-7528

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1467850156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 PARKWAY AVE",
            "address_2": "SUITE 205",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283018",
            "telephone_number": "609-883-7528",
            "fax_number": "609-883-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 PARKWAY AVE",
            "address_2": "SUITE 205",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283018",
            "telephone_number": "609-883-7528",
            "fax_number": "609-883-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEKING",
        "first_name": "BRANDON",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01373400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.