Active NPI
Mark Brumer, PT
- Physical Therapist
- East Brunswick, NJ
National Provider Identifier
1568501385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA01030800
- Practice address
- G11 Brier Hill CT
East Brunswick, NJ 08816-3338 - Phone
- (732) 698-7108
- Fax
- (732) 698-7105
- NPI assigned
- Feb 6, 2007
- Last updated
- May 18, 2015
- 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 | QA01030800 | NJ | Primary |
Addresses
Primary practice location
G11 Brier Hill CT
East Brunswick, NJ 08816-3338
Mailing address
G11 Brier Hill CT
East Brunswick, NJ 08816-3338
Phone (732) 698-7108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1563394 | Other | NJ | AMERIHEALTH |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
G11 Brier Hill CT
East Brunswick, NJ 08816-3338
Phone (732) 698-7108
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA01030800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Classic Family Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Healthy Body Rehabilitation PC | Physical Therapist | Past | Accepting new patients |
Locations
G11 Brier Hill Ct
East Brunswick, NJ 08816
Phone (732) 698-0082
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.
-
- Physical Therapy Clinic/Center
- East Brunswick, NJ
- NPI 1164667804
Physical Therapist
-
- Physical Therapy Clinic/Center
- Morganville, NJ
- NPI 1427274919
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1568501385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G11 BRIER HILL CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163338",
"telephone_number": "732-698-7108",
"fax_number": "732-698-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G11 BRIER HILL CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163338",
"telephone_number": "732-698-7108",
"fax_number": "732-698-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMER",
"first_name": "MARK",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA01030800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "1563394",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.