Organization Active NPI

Roost Rehab LLC

  • Physical Therapy Clinic/Center
  • Lakewood, NJ
National Provider Identifier
1770091613
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA01757900 Issued in NJ
Legal business name
ROOST REHAB LLC
Practice address
65 Arosa HL
Lakewood, NJ 08701-2133
Phone
(347) 631-6150
NPI assigned
Jan 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Dr. Avraham Friedman, DPT
Title
Doctor of Physical Therapy
Phone
(347) 631-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA01757900 NJ Primary

Addresses

Primary practice location

65 Arosa HL
Lakewood, NJ 08701-2133

Mailing address

65 Arosa HL
Lakewood, NJ 08701-2133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1770091613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 AROSA HL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 AROSA HL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012133",
            "telephone_number": "347-631-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOST REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "347-631-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01757900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.