Organization Active NPI

Trinity Rehab Somerset PA

  • Physical Therapist
  • Parsippany, NJ
National Provider Identifier
1821643404
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRINITY REHAB SOMERSET PA
Practice address
131 New Rd # Units
Parsippany, NJ 07054-4208
Phone
(732) 219-5700
Fax
(732) 219-5703
NPI assigned
Aug 9, 2019
Organization subpart
Yes
Parent organization
TRINITY REHAB SOMERSET PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Rosanna Blodgett
Title
Billing and Credentialing Mangaer
Phone
(732) 219-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

131 New Rd # Units
Parsippany, NJ 07054-4208

Mailing address

554-558 Highway 35 South
Red Bank, NJ 07701
Phone (732) 219-5700

Other names 1

  • Trinity Rehab Parsippany Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Raintree Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170113000019 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547540809 Receives reassigned benefits from 136 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Piscataway, NJ; Morristown, NJ; Red Bank, NJ; Sewell, NJ; Short Hills, NJ; Shrewsbury, NJ; Somers Point, NJ; Somerset, NJ…

Other NPIs on the same Medicare enrollment 37

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 37

National Provider Directory

National Provider Directory
Part of
Trinity Rehab Somerset PA

Locations

131 New Rd
Parsippany, NJ 07054

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1821643404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554-558 HIGHWAY 35 SOUTH",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-219-5700",
            "fax_number": "733-334-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW RD # UNITS",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544208",
            "telephone_number": "732-219-5700",
            "fax_number": "732-219-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY REHAB SOMERSET PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY REHAB SOMERSET PA",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "BLODGETT",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANGAER",
        "authorized_official_telephone_number": "732-219-5700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Raintree",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "131 New Rd # Units",
            "city": "Parsippany",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070544208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Rehab Parsippany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.