Active NPI
Josefino Solomon Navarro, PHYSICAL THERAPIST
- Physical Therapist
- Lakewood, NJ
National Provider Identifier
1699865014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00671200
- Practice address
- 1255 Highway 70
Suite 22-N
Lakewood, NJ 08701-5900 - Phone
- (732) 370-8010
- Fax
- (732) 364-6070
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00671200 | NJ | Primary |
Addresses
Primary practice location
1255 Highway 70
Suite 22-N
Lakewood, NJ 08701-5900
Mailing address
16 Knightsbridge PL
Jackson, NJ 08527-1272
Phone (732) 905-6580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00671200 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699865014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 KNIGHTSBRIDGE PL",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271272",
"telephone_number": "732-905-6580",
"fax_number": "732-905-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HIGHWAY 70",
"address_2": "SUITE 22-N",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015900",
"telephone_number": "732-370-8010",
"fax_number": "732-364-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRO",
"first_name": "JOSEFINO",
"middle_name": "SOLOMON",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00671200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.