Jeffrey William Bauer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00288800 Issued in NJ

Practice address

26 Sandpiper Dr
Parlin, NJ 08859-2151

Phone

(732) 501-9259

NPI assigned

Jun 20, 2013

Last updated

Jun 20, 2013By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1649619867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SANDPIPER DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592151",
            "telephone_number": "732-501-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SANDPIPER DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592151",
            "telephone_number": "732-501-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00288800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "40QB00288800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Bain
• Abdel M Bakhos, MD
• Victor Bakhoum, RPH
• Nilam Balsara
• Jeffrey A. Band, DMD,PA
• Sarah Bauer
• Bayshore Community Hospital
• Briana Beach
• Bhawna Bhatti, DDS
• Angel Blagoev, DDS

• Physical Therapy Assistant in Parlin, NJ
• Providers in Parlin, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.