Individual provider Active NPI

Roger Jose, PT

  • Physical Therapist
  • Nanuet, NY
National Provider Identifier
1700256377
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037393 Issued in NY
Practice address
257 S Middletown Rd
Nanuet, NY 10954
Phone
(845) 623-8000
Fax
(845) 623-0770
NPI assigned
Sep 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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 037393 NY Primary

Addresses

Primary practice location

257 S Middletown Rd
Nanuet, NY 10954

Mailing address

386 Parsippany Rd
Apt # F2
Parsippany, NJ 07054
Phone (973) 727-8522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001891 NY Practitioner - Physical Therapist in Private Practice 0547560583 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Jan 25, 2019 Accepting new patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
Musculoskeletal Pain Management PC CurrentSince Nov 1, 2015 Accepting new patients

Locations

3200 Bronx Blvd
Bronx, NY 10467
Phone (718) 515-9807

122 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-5685

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

257 S Middletown Rd
Nanuet, NY 10954
Phone (845) 426-6667

4 Medical Park Dr
Pomona, NY 10970
Phone (845) 354-6225

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1700256377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 PARSIPPANY RD",
            "address_2": "APT # F2",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-727-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-8000",
            "fax_number": "845-623-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "ROGER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.