Individual provider Active NPI

Rosalie Vistan-Singidas, PT

  • Physical Therapist
  • Howell, NJ
National Provider Identifier
1871557280
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA0005678 Issued in NJ
Practice address
63 Brent Dr
Howell, NJ 07731-8920
Phone
(732) 688-1840
Fax
(732) 751-0449
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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 QA0005678 NJ Primary

Addresses

Primary practice location

63 Brent Dr
Howell, NJ 07731-8920

Mailing address

63 Brent Dr
Howell, NJ 07731-8920
Phone (732) 688-1840

Other names 1

  • Rosalie Singidas Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000910 NJ Practitioner - Physical Therapist in Private Practice 1658396080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA0005678NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients
RVS Physical Therapy Physical Therapist Past Accepting new patients
First Choice Health Groupllc PastSince Apr 13, 2009 Accepting new patients

Locations

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1871557280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BRENT DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077318920",
            "telephone_number": "732-688-1840",
            "fax_number": "732-751-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BRENT DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077318920",
            "telephone_number": "732-688-1840",
            "fax_number": "732-751-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTAN-SINGIDAS",
        "first_name": "ROSALIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA0005678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "SINGIDAS",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.