Individual provider Active NPI

Joseph B. Peragine, PT,DPT, SCS, MSCS

  • Sports Physical Therapist
  • Freehold, NJ
National Provider Identifier
1477804748
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
40QA01285000 Issued in NJ
Practice address
144 Princeton Oval
Freehold, NJ 07728-5336
Phone
(732) 294-2700
Fax
(732) 294-2568
NPI assigned
Sep 27, 2012
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 40QA01285000 NJ Primary

Addresses

Primary practice location

144 Princeton Oval
Freehold, NJ 07728-5336

Mailing address

144 Princeton Oval
Freehold, NJ 07728-5336
Phone (732) 294-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000601 NJ Practitioner - Physical Therapist in Private Practice 1557687639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Professional View Dr
Freehold, NJ 07728-7904
Phone (732) 720-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01285000NJMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedic and Sports Medicine Institute PC CurrentSince Jan 5, 2015 Accepting new patients
Advanced Orthopedic and Sports Medicine Institute PC Sports CurrentSince Jan 5, 2015 Accepting new patients

Locations

301 Professional View Dr
Freehold, NJ 07728
Phone (732) 616-6738

501 Iron Bridge Rd
Ste 1
Freehold, NJ 07728
Phone (732) 294-8999

312 Applegarth Rd
Ste 1
Monroe Township, NJ 08831

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIEEAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1477804748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 PRINCETON OVAL",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285336",
            "telephone_number": "732-294-2700",
            "fax_number": "732-294-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PRINCETON OVAL",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285336",
            "telephone_number": "732-294-2700",
            "fax_number": "732-294-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAGINE",
        "first_name": "JOSEPH",
        "middle_name": "B.",
        "credential": "PT,DPT, SCS, MSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA01285000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.