Active NPI
Jonathan J Moshenberg, DPT
- Physical Therapist
- Watchung, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01397400
- Practice address
- 459 Watchung Ave
Suite LL4
Watchung, NJ 07069-4945 - Phone
- (908) 756-2424
- Fax
- (908) 756-2447
- NPI assigned
- Aug 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01397400 | NJ | Primary |
Addresses
Primary practice location
459 Watchung Ave
Suite LL4
Watchung, NJ 07069-4945
Mailing address
459 Watchung Ave
Suite LL4
Watchung, NJ 07069-4945
Phone (908) 756-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Central Ave
Westfield, NJ 07090-2534
Phone (908) 654-4252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01397400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Medical Group of Branchburg LLC | Current | Accepting new patients | |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
| Performance Medical Group of Somerset | Current | Accepting new patients | |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Performance Medical of Watchung LLC | Current | Accepting new patients | |
| Great Hands Inc | Physical Therapist | Past | Accepting new patients |
Locations
3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996
3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131
1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135
1011 US Highway 22
Bridgewater, NJ 08807
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132
505 Morris Ave
Ste 103
Springfield, NJ 07081
Phone (973) 379-7006
459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988
459 Watchung Ave
Ste LL4
Watchung, NJ 07069
10 Johnston Dr
Watchung, NJ 07069
Organizations & group practices 7
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.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
dba Performance Rehabilitation & Regenerative Medicine
- Physical Medicine & Rehabilitation Physician
- Branchburg, NJ
- NPI 1679075642
-
dba Performance Rehabilitation & Regenerative Medicine
- Physical Medicine & Rehabilitation Physician
- Somerset, NJ
- NPI 1780287326
-
- Physical Medicine & Rehabilitation Physician
- Watchung, NJ
- NPI 1518477918
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
dba Physical Therapy and Sports Assessment Center
- Physical Therapist
- Silver Spring, MD
- NPI 1861567018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1477784478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 WATCHUNG AVE",
"address_2": "SUITE LL4",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070694945",
"telephone_number": "908-756-2424",
"fax_number": "908-756-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 WATCHUNG AVE",
"address_2": "SUITE LL4",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070694945",
"telephone_number": "908-756-2424",
"fax_number": "908-756-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHENBERG",
"first_name": "JONATHAN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-07",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01397400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watchung, NJ
- Joseph Rodrigo Mejia, D.O.
- Andree F. Mindnich
- Silva Korn Mirvis, P.T.
- Modern Limb & Brace Co Inc
- Modern Limb & Brace Co.
- Mountaintop Medical LLC
- Ms Nickys Body Shop
- Multi-Medical Practice Professional Association
- Kathleen Nagle-Lauletta, P.T.
- National Vision Inc (America's Best Contacts & Eyeglasses)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.