Active NPI
Verna Lane Pazaras, P.T.
- Physical Therapist
- Long Branch, NJ
National Provider Identifier
1497004154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00903900
- Practice address
- 170 Morris Ave
Suite B
Long Branch, NJ 07740-8214 - Phone
- (732) 222-2900
- NPI assigned
- Sep 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 40QA00903900 | NJ | Primary |
Addresses
Primary practice location
170 Morris Ave
Suite B
Long Branch, NJ 07740-8214
Mailing address
170 Morris Ave
Suite B
Long Branch, NJ 07740-8214
Phone (732) 222-2900
Other names 1
- Verna Christine Lane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00903900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Spine & Wellness L L C | Physical Therapist | Past | Accepting new patients |
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": "1347148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347148800000",
"number": "1497004154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MORRIS AVE",
"address_2": "SUITE B",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077408214",
"telephone_number": "732-222-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MORRIS AVE",
"address_2": "SUITE B",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077408214",
"telephone_number": "732-222-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZARAS",
"first_name": "VERNA",
"middle_name": "LANE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-09",
"last_updated": "2012-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00903900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERNA",
"last_name": "LANE",
"middle_name": "CHRISTINE",
"credential": "P.T,",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.