Individual provider Active NPI

Beverly Lagman, PT, DPT

  • Physical Therapist
  • Linden, NJ
National Provider Identifier
1760838734
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01660800 Issued in NJ
Practice address
210 W Saint Georges Ave
Linden, NJ 07036-3900
Phone
(908) 587-1624
NPI assigned
May 10, 2016
Last updated
May 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01660800 NJ Primary
Physical Therapist 225100000X 040009 NY

Addresses

Primary practice location

210 W Saint Georges Ave
Linden, NJ 07036-3900

Mailing address

103 Clendenny Ave
Jersey City, NJ 07304-1503

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813001061 NJ Practitioner - Physical Therapist in Private Practice 1254668353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

526 Broadway
Bayonne, NJ 07002-3734
Phone (201) 549-5230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040009NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey F. Augustin, M.D. P.a. CurrentSince Aug 5, 2019 Accepting new patients
Augustin Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Nov 8, 2022 Accepting new patients

Locations

526 Broadway
Bayonne, NJ 07002
Phone (201) 437-9700

864 Broadway
Bayonne, NJ 07002
Phone (201) 339-1109

Organizations & group practices 2

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1760838734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CLENDENNY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070363900",
            "telephone_number": "908-587-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGMAN",
        "first_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01660800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.