Baruch Gottlieb, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01763200 Issued in NJ

Practice address

12 Charming Way
Lakewood, NJ 08701-5450

Phone

(718) 781-4703

NPI assigned

Apr 15, 2018

Last updated

Apr 15, 2018By the provider in NPPES

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Towne FirstGroup PAC ID 2860863149, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Towne First

  • Physical Therapist
  • Howell, NJ
  • NPI 1912640434
  Medicare reassignment Care Compare group NPD
• First Rehab Group LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1417278003
  Authorized official Same address or phone

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1700373859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHARMING WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015450",
            "telephone_number": "718-781-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHARMING WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015450",
            "telephone_number": "718-781-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "BARUCH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01763200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Gormley
• Julia Gormley, CADC INTERN
• Tamema Leah Gotlib
• Mirel Gottesman, BCBA
• Sara Gottesman
• Esther Gottlieb
• Chaya Gould, BCBA
• Caitlyn Marie Grabowski, ATC
• Susan Grahn, LCSW
• David Grandcolas, LPC

• Physical Therapist in Lakewood, NJ
• Providers in Lakewood, 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 Apr 15, 2018; 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.