Individual provider Active NPI

Robert Perniola, DPT

  • Physical Therapist
  • Morganville, NJ
National Provider Identifier
1982151221
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01687700 Issued in NJ
Practice address
186 County Road 520 Ste 1
Morganville, NJ 07751-1246
Phone
(732) 972-6010
Fax
(732) 972-3862
NPI assigned
Sep 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 40QA01687700 NJ Primary

Addresses

Primary practice location

186 County Road 520 Ste 1
Morganville, NJ 07751-1246

Mailing address

186 County Road 520 Ste 1
Morganville, NJ 07751-1246
Phone (732) 972-6010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614000304 NJ Practitioner - Physical Therapist in Private Practice 8022386127 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Spine and Rehab LLCGroup PAC ID 6608273933, 2 clinicians

Practice addresses (Care Compare)

186 County Rd
520 Suite 1
Morganville, NJ 07751-1246
Phone (732) 972-6010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Medicine of Aberdeen, LLC CurrentSince Sep 16, 2019 Accepting new patients
Spine & Sports Medicine of Lincroft, LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Spine & Sports Medicine of Tinton Falls LLC Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
NJ Spine and Rehab LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Northeast Surgery Associates LLC CurrentSince Mar 30, 2021 Accepting new patients
Procare Rehabilitation, LLC Physical Therapist CurrentSince Sep 10, 2016 Accepting new patients

Locations

340 State Route 34
Ste 210
Colts Neck, NJ 07722
Phone (732) 625-0170

4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012

1 Bethany Rd
Ste 53
Hazlet, NJ 07730
Phone (732) 264-6106

5 Swimming River Rd
Lincroft, NJ 07738
Phone (732) 451-4578

557 S Atlantic Ave
Matawan, NJ 07747
Phone (732) 765-4601

4057 Asbury Ave
Ste 4
Tinton Falls, NJ 07753
Phone (732) 333-3099

Organizations & group practices 6

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": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1982151221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 COUNTY ROAD 520 STE 1",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511246",
            "telephone_number": "732-972-6010",
            "fax_number": "732-972-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 COUNTY ROAD 520 STE 1",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511246",
            "telephone_number": "732-972-6010",
            "fax_number": "732-972-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNIOLA",
        "first_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-03",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01687700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

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

Verify at the official NPI Registry.