Individual provider Active NPI

Ophir Marom

  • Physical Therapist
  • Hoboken, NJ
National Provider Identifier
1922657535
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01892900 Issued in NJ
Practice address
70 Hudson St Ste 2a
Hoboken, NJ 07030-5618
Phone
(201) 533-8111
NPI assigned
Sep 6, 2019
Reactivated
May 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 40QA01892900 NJ Primary

Addresses

Primary practice location

70 Hudson St Ste 2a
Hoboken, NJ 07030-5618

Mailing address

70 Hudson St Ste 2a
Hoboken, NJ 07030-5618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044881NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1922657535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HUDSON ST STE 2A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HUDSON ST STE 2A",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305618",
            "telephone_number": "201-533-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROM",
        "first_name": "OPHIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "deactivation_date": "2020-05-06",
        "reactivation_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01892900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.