John Nicholas Rosalie, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00925500 Issued in NJ

Practice address

579 Cranbury Rd Ste C
East Brunswick, NJ 08816-5405

Phone

(732) 432-0733

Fax

(732) 432-9131

NPI assigned

Oct 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Sports Medicine of Aberdeen LLCGroup PAC ID 1456644236, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spine & Sports Medicine of Aberdeen, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Aberdeen, NJ
  • NPI 1457708737
  Medicare reassignment Care Compare group NPD
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274

  Occupational Therapist

  Medicare reassignment NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1669072849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 CRANBURY RD STE C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165405",
            "telephone_number": "732-432-0733",
            "fax_number": "732-432-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALIE",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017304",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00925500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew M Rollins, MSN, RN, APN
• Richard Rollman, DDS
• Rom Kids Pediactrics Physical Therapy Inc.
• Melchor Daguro Romero, M.D.
• Ellen A Ronnen, MD
• Jeffrey Mark Rosenbaum, M.D.
• Cyril Rosenfeld, M.D.
• David L Rosenfeld, MD
• Bernard Christopher Rosenthal, MD
• Kevin A. Ross, DC

• Occupational Therapist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.