Active NPI
Christopher D Jacquet, PT
- Physical Therapist
- Warren, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01370700
- Practice address
- 34 Mountain Blvd
Building C
Warren, NJ 07059-2640 - Phone
- (908) 222-0515
- Fax
- (908) 222-0516
- NPI assigned
- Sep 27, 2010
- Last updated
- Sep 27, 2010
- 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 | 40QA01370700 | NJ | Primary |
Addresses
Primary practice location
34 Mountain Blvd
Building C
Warren, NJ 07059-2640
Mailing address
622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone (973) 669-0078
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
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
981 US Hwy 22
Suite 100
Bridgewater, NJ 08807-2946
Phone (908) 628-0126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Grossman Chiropractic & Physical Therapy, LLC | Current | Accepting new patients | |
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| St. Luke's Warren Hospital, Inc. | Past | Accepting new patients |
Locations
981 US Highway 22
Ste 100
Bridgewater, NJ 08807
Phone (908) 628-0126
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
397 Ridge Rd
Ste 2
Dayton, NJ 08810
Phone (732) 329-8600
1885 State Route 57
Ste 5
Hackettstown, NJ 07840
Phone (908) 852-5400
2107 State Route 35
Holmdel, NJ 07733
Phone (732) 587-5065
221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520
34 Mountain Blvd
Ste C
Warren, NJ 07059
Phone (908) 222-0515
622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078
Organizations & group practices 4
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.
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
-
- Chiropractor
- Dayton, NJ
- NPI 1043265879
-
- Physical Therapist
- Hackettstown, NJ
- NPI 1326155748
-
- Psychiatric Hospital Unit
- Phillipsburg, NJ
- NPI 1437155595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1760791685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 EAGLE ROCK AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522994",
"telephone_number": "973-669-0078",
"fax_number": "973-669-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MOUNTAIN BLVD",
"address_2": "BUILDING C",
"city": "WARREN",
"state": "NJ",
"postal_code": "070592640",
"telephone_number": "908-222-0515",
"fax_number": "908-222-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACQUET",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01370700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.