Active NPI
Steven Rozov
- Physical Therapist
- Lake Como, NJ
National Provider Identifier
1841709789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01756700
- Practice address
- 1719 Main St
Lake Como, NJ 07719-3097 - Phone
- (732) 894-9200
- Fax
- (732) 894-9202
- NPI assigned
- Sep 22, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 40QA01756700 | NJ | Primary |
Addresses
Primary practice location
1719 Main St
Lake Como, NJ 07719-3097
Mailing address
1719 Main St
Lake Como, NJ 07719-3097
Phone (732) 894-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA01756700 | Other | NJ | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
Practice addresses (Care Compare)
1163 Forest Ave
Staten Island, NY 10310-2408
Phone (718) 727-0055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Chiropractic & Physical Therapy, PLLC | Current | Accepting new patients |
Locations
1163 Forest Ave
Staten Island, NY 10310
Phone (718) 727-0055
Organizations & group practices 1
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.
-
- Chiropractor
- Staten Island, NY
- NPI 1952573065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1841709789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 MAIN ST",
"city": "LAKE COMO",
"state": "NJ",
"postal_code": "077193097",
"telephone_number": "732-894-9200",
"fax_number": "732-894-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 MAIN ST",
"city": "LAKE COMO",
"state": "NJ",
"postal_code": "077193097",
"telephone_number": "732-894-9200",
"fax_number": "732-894-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZOV",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01756700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "40QA01756700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Como, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.