Jacob Carmelo Rosado, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02210300 Issued in NJ

Practice address

36 Ralph Rd
West Orange, NJ 07052-1713

Phone

(917) 250-4804

NPI assigned

Nov 26, 2024

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York University Medical College - NLG, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment Care Compare group NPD
• Ignite Rehab Corp

  • Occupational Therapist
  • Wayne, NJ
  • NPI 1902542574

  Physical Therapist

  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1689490336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RALPH RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521713",
            "telephone_number": "917-250-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RALPH RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521713",
            "telephone_number": "917-250-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "JACOB",
        "middle_name": "CARMELO",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02210300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald G. Frank MD,PC
• Ronald P. Sinack
• Roots & Wings Independent Living
• Roots Family Consulting, LLC
• Richard A Rosa, MD
• Vianey E Rosas, OTR/L
• Jillian Rosen
• Lawrence Stephen Rosenthal, M.D.
• Luis Rosero
• Catherine Nicole Rosetti, FNP-C

• Physical Therapist in West Orange, NJ
• Providers in West Orange, 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 26, 2024; 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.