Individual provider Active NPI

Adrian Lorenzo

  • Physical Therapist
  • Edgewater, NJ
National Provider Identifier
1972152643
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01884200 Issued in NJ
Practice address
725 River Rd Ste 60
Edgewater, NJ 07020-1149
Phone
(201) 941-2240
NPI assigned
Sep 5, 2019
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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 40QA01884200 NJ Primary

Addresses

Primary practice location

725 River Rd Ste 60
Edgewater, NJ 07020-1149

Mailing address

8508 Newkirk Ave
North Bergen, NJ 07047-4351
Phone (201) 615-3186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024000617 NJ Practitioner - Physical Therapist in Private Practice 3173855186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25 S Van Brunt St
Vale Physical Therapy
Englewood, NJ 07631-3497
Phone (201) 408-4534

725 River Rd
Suite 60
Edgewater, NJ 07020-1149
Phone (201) 941-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01884200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Physical Therapy Solutions Physical Therapist CurrentSince Jan 2, 2022 Accepting new patients
Physical Therapy & Sports Rehab Group of NJ, LLC Physical Therapist CurrentSince Jan 28, 2022 Accepting new patients
Scerbo Physical Therapy & Sports Medicine Institute, LLC Physical Therapist CurrentSince Sep 6, 2019 Accepting new patients
Vale Physical Therapy Physical Therapist Current Accepting new patients

Locations

725 River Rd
Ste 60
Edgewater, NJ 07020
Phone (201) 833-7213

25 S Van Brunt St
Englewood, NJ 07631
Phone (201) 408-4534

Organizations & group practices 4

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1972152643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 NEWKIRK AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474351",
            "telephone_number": "201-615-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 60",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201149",
            "telephone_number": "201-941-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01884200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

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