Active NPI
Daniel Adam Roig, DPT
- Physical Therapist
- South Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01335000
- Practice address
- 177 Valley St
South Orange, NJ 07079-2836 - Phone
- (973) 761-0077
- Fax
- (973) 761-0024
- NPI assigned
- Nov 4, 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 | 40QA01335000 | NJ | Primary |
Addresses
Primary practice location
177 Valley St
South Orange, NJ 07079-2836
Mailing address
177 Valley St
South Orange, NJ 07079-2836
Phone (973) 761-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA01335000 | Other | NJ | NEW JERSEY STATE PHYSICAL THERAPIST LICENSE |
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)
855 Valley Rd
Suite 202
Clifton, NJ 07013-6402
Phone (973) 852-3120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01335000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Orange Chiropractic Center | Current | Accepting new patients | |
| Sportsmed PT LLC | Physical Therapist | Current | Accepting new patients |
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
Locations
855 Valley Rd
Ste 202
Clifton, NJ 07013
Phone (973) 601-5947
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
177 Valley St
South Orange, NJ 07079
Phone (862) 206-4072
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.
-
- Physical Therapist
- Glen Rock, NJ
- NPI 1841787645
-
- Chiropractor
- South Orange, NJ
- NPI 1669612628
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1508193079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 VALLEY ST",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792836",
"telephone_number": "973-761-0077",
"fax_number": "973-761-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 VALLEY ST",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792836",
"telephone_number": "973-761-0077",
"fax_number": "973-761-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROIG",
"first_name": "DANIEL",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01335000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY STATE PHYSICAL THERAPIST LICENSE",
"identifier": "40QA01335000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.