Jaison Oommen, P.T., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027753 Issued in NY

Practice address

18 Austin Ave
Old Bridge, NJ 08857-1205

Phone

(917) 975-3757

Fax

(732) 234-6634

NPI assigned

Nov 22, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1689855314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BRADLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146945",
            "telephone_number": "917-975-3757",
            "fax_number": "732-234-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 AUSTIN AVE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571205",
            "telephone_number": "917-975-3757",
            "fax_number": "732-234-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "JAISON",
        "name_prefix": "Dr.",
        "credential": "P.T., DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-22",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "027753",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Bridge Township Emergency Medical Services Inc
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• Chukwudi Nwbunwanne Onwuakor, DC
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• Viktoriya Orman, APN-BC
• Orthopedic Associates of Central Jersey PA
• Joseph Ortiz
• Ihsan A. Osman, M.D.

• Physical Therapist in Old Bridge, NJ
• Providers in Old Bridge, 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 Dec 10, 2024; 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.