Individual provider Active NPI

Roslyn M Batiancila, PT, DPT

  • Physical Therapist
  • Fair Lawn, NJ
National Provider Identifier
1801108527
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01440800 Issued in NJ
Practice address
2-22 Banta PL
Fair Lawn, NJ 07410-3058
Phone
(201) 794-4417
NPI assigned
Jul 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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 40QA01440800 NJ Primary

Addresses

Primary practice location

2-22 Banta PL
Fair Lawn, NJ 07410-3058

Mailing address

1070 Clifton Ave
Ste 1a
Clifton, NJ 07013-3619
Phone (732) 855-9751

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120615000506 NJ Practitioner - Physical Therapist in Private Practice 9638364540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magna Vita Rehab and WellnessGroup PAC ID 2163895970, 2 clinicians

Practice addresses (Care Compare)

397 Haledon Ave
Haledon, NJ 07508-1551
Phone (973) 975-0035

725 Valley Brook Ave
Lyndhurst, NJ 07071-2030
Phone (973) 975-0035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01440800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince May 3, 2012 Accepting new patients
Magna Vita Rehab and Wellness Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

Locations

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

397 Haledon Ave
Haledon, NJ 07508
Phone (973) 427-0023

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

725 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 933-0711

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

616 Bloomfield Ave
Ste 3A
West Caldwell, NJ 07006
Phone (973) 228-1948

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1801108527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 CLIFTON AVE",
            "address_2": "STE 1A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133619",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-22 BANTA PL",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103058",
            "telephone_number": "201-794-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATIANCILA",
        "first_name": "ROSLYN",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01440800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.