Individual provider Active NPI

Robert Aranbaev, DPT

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1659556694
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62030006 Issued in NJ
Practice address
18 Worlds Fair Dr
Somerset, NJ 08873-1346
Phone
(917) 576-7789
NPI assigned
Jan 9, 2008
Last updated
Feb 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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 62030006 NJ Primary

Addresses

Primary practice location

18 Worlds Fair Dr
Somerset, NJ 08873-1346

Mailing address

14119 Hoover Ave
Briarwood, NY 11435-1109
Phone (917) 576-7789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000630 NJ Practitioner - Physical Therapist in Private Practice 4385723048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Rehab Physical Therapy, PCGroup PAC ID 1658436563, 2 clinicians

Practice addresses (Care Compare)

18 Worlds Fair Dr
Somerset, NJ 08873-1346
Phone (732) 469-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62030006NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Rehab Physical Therapy PC CurrentSince Nov 21, 2008 Accepting new patients
Genesis Rehab Physical Therapy PC Current Accepting new patients
I&M Physical Therapy, P.C Physical Therapist Past Accepting new patients

Locations

575 Kent Pl
Linden, NJ 07036
Phone (718) 644-7150

18 Worlds Fair Dr
Somerset, NJ 08873
Phone (732) 271-8010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1659556694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 HOOVER AVE",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351109",
            "telephone_number": "917-576-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731346",
            "telephone_number": "917-576-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANBAEV",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "62030006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.