Individual provider Active NPI

Ronit Waisbrod

  • Physical Therapist
  • Rockleigh, NJ
National Provider Identifier
1730423559
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00498600 Issued in NJ
Practice address
35 Piermont Rd Ste B
Rockleigh, NJ 07647-2702
Phone
(201) 750-8310
NPI assigned
Nov 16, 2012
Last updated
Mar 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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 40QA00498600 NJ Primary

Addresses

Primary practice location

35 Piermont Rd Ste B
Rockleigh, NJ 07647-2702

Mailing address

35 Piermont Rd Ste B
Rockleigh, NJ 07647-2702

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00498600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Bergen N J Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1730423559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PIERMONT RD STE B",
            "city": "ROCKLEIGH",
            "state": "NJ",
            "postal_code": "076472702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PIERMONT RD STE B",
            "city": "ROCKLEIGH",
            "state": "NJ",
            "postal_code": "076472702",
            "telephone_number": "201-750-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAISBROD",
        "first_name": "RONIT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00498600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockleigh, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.