Individual provider Active NPI

Joan Oleforo

  • Physical Therapist
  • Monmouth Junction, NJ
National Provider Identifier
1497130918
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01586300 Issued in NJ
Practice address
101A Major Rd
Monmouth Junction, NJ 08852-2307
Phone
(908) 358-8615
NPI assigned
Jul 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 40QA01586300 NJ Primary

Addresses

Primary practice location

101A Major Rd
Monmouth Junction, NJ 08852-2307

Mailing address

101A Major Rd
Monmouth Junction, NJ 08852-2307
Phone (908) 358-8615

Other practice location 1

2 Deerpark Dr
Monmouth Junction, NJ 08852-1919
Phone (732) 274-8568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510001053 NJ Practitioner - Physical Therapist in Private Practice 9830453265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Pathway Therapy ServicesGroup PAC ID 6305225004, 2 clinicians

Practice addresses (Care Compare)

101 A Major Rd
Monmouth Junction, NJ 08852-2307
Phone (908) 358-8615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Pathway Therapy Services Physical Therapist CurrentSince May 30, 2022 Accepting new patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Mar 13, 2022 Accepting new patients
Oncore Speech Therapy LLC PastSince Dec 1, 2020 Accepting new patients

Locations

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 3

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": "1437868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1497130918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101A MAJOR RD",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522307",
            "telephone_number": "908-358-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101A MAJOR RD",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522307",
            "telephone_number": "908-358-8615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Deerpark Dr",
            "address_purpose": "LOCATION",
            "city": "Monmouth Junction",
            "state": "NJ",
            "postal_code": "088521919",
            "country_code": "US",
            "telephone_number": "732-274-8568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLEFORO",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-26",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01586300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.