Richard Gerard Jaeger

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00549400 Issued in NJ

Practice address

1581 Rte. 23 South
Wayne, NJ 07470-4658

Phone

(973) 696-7707

Fax

(973) 696-4771

NPI assigned

Nov 29, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Richard Jaeger Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jaeger Physical Therapy

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1356523732

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1619044625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MAPLE AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704658",
            "telephone_number": "973-722-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 RTE. 23 SOUTH",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704658",
            "telephone_number": "973-696-7707",
            "fax_number": "973-696-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "RICHARD",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00549400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "JAEGER",
            "prefix": "MR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adrian William Jachens, MD
• Lynette Michelle Jackson, PHARM.D.
• Laura Jacobowitz, COTA
• Jade Richard DPM LLC
• Jaeger Physical Therapy
• Suzanne Jahng
• Sumit Jain
• Robin F James, LPC
• Imran Ahmed Jamil, M.D.
• Herbert David Janow, DPM

• Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.