Active NPI
William Joseph Roman, PH.D., P.T.
- Physical Therapist
- Millburn, NJ
National Provider Identifier
1700949039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA06268
- Practice address
- 12 Holmes St
Millburn, NJ 07041-1602 - Phone
- (908) 797-2888
- Fax
- (973) 379-7783
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | QA06268 | NJ | Primary |
Addresses
Primary practice location
12 Holmes St
Millburn, NJ 07041-1602
Mailing address
12 Holmes St
Millburn, NJ 07041-1602
Phone (908) 797-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Rutgers New Jersey Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14 Roosevelt Ave
Suite B
Chatham, NJ 07928-2567
Phone (908) 797-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA06268 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCN Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
14 Roosevelt Ave
Ste B
Chatham, NJ 07928
Phone (908) 797-2888
12 Holmes St
Millburn, NJ 07041
Phone (908) 797-2888
Organizations & group practices 1
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.
-
- Physical Disabilities Residential Treatment Facility
- Millburn, NJ
- NPI 1407017353
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1700949039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HOLMES ST",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411602",
"telephone_number": "908-797-2888",
"fax_number": "973-379-7783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HOLMES ST",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411602",
"telephone_number": "908-797-2888",
"fax_number": "973-379-7783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D., P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA06268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.