Individual provider Active NPI

Elizabeth O'Neill

  • Specialist
  • Williamstown, NJ
National Provider Identifier
1912584491
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00478800 Issued in NJ
Practice address
1035 N Black Horse Pike Ste 5
Williamstown, NJ 08094-2840
Phone
(856) 728-4100
Fax
(856) 728-4415
NPI assigned
Mar 29, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA00478800 NJ Primary

Addresses

Primary practice location

1035 N Black Horse Pike Ste 5
Williamstown, NJ 08094-2840

Mailing address

1035 N Black Horse Pike Ste 5
Williamstown, NJ 08094-2840
Phone (856) 728-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420000076 NJ Practitioner - Physical Therapist in Private Practice 9234547977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Home RehabilitationGroup PAC ID 4284028549, 3 clinicians

Practice addresses (Care Compare)

1019 Whitehall Rd
Williamstown, NJ 08094-7985
Phone (856) 777-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00478800NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Romalino PT, PC Specialist CurrentSince Apr 30, 2021 Accepting new patients
Belle Home Rehabilitation CurrentSince Mar 6, 2022 Accepting new patients

Locations

1035 N Black Horse Pike
Ste 5
Williamstown, NJ 08094
Phone (856) 726-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1912584491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N BLACK HORSE PIKE STE 5",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942840",
            "telephone_number": "856-728-4100",
            "fax_number": "856-728-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N BLACK HORSE PIKE STE 5",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942840",
            "telephone_number": "856-728-4100",
            "fax_number": "856-728-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00478800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.