Shoshana Rose Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHOSHANA ROSE PHYSICAL THERAPY

Practice address

418 Clifton Ave Ste 304
Lakewood, NJ 08701-3750

Phone

(732) 547-1450

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Paul, MSPTNPI 1306836473

Title

Owner

Phone

(732) 547-1450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Vista Paul, MSPT

  • Physical Therapist
  • Englishtown, NJ
  • NPI 1306836473
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1982411187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FRIAR LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CLIFTON AVE STE 304",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013750",
            "telephone_number": "732-547-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHANA ROSE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-547-1450",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Outpatient Surgicenter LLC
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• Shore Spine and Pain
• Shore Surgical Pavilion, LLC
• Gitel Shreibman, MSED BCBA
• Tzivia Shreibman
• Shsnj LLC (Quality Families)
• Miriam Shulman, LCSW
• Chaya Adina Shurkin

• Physical Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.