Individual provider Active NPI

Jeralyn Primerano

  • Physical Therapist
  • Matawan, NJ
National Provider Identifier
1982854733
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00549100 Issued in NJ
Practice address
1016 Highway 34
Pine Crest Plaza, BLDG. 9
Matawan, NJ 07747-3476
Phone
(732) 219-5700
Fax
(732) 219-5703
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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 40QA00549100 NJ Primary

Addresses

Primary practice location

1016 Highway 34
Pine Crest Plaza, BLDG. 9
Matawan, NJ 07747-3476

Mailing address

558 Highway 35
Union Square Plaza Office Commons
Red Bank, NJ 07701-5066
Phone (732) 219-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000510 NJ Practitioner - Physical Therapist in Private Practice 2567523210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

3 Paragon Way
Suite 250
Freehold, NJ 07728-9578
Phone (732) 431-2883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00549100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince May 23, 2022 Accepting new patients
Trinity Rehab Somerset PA Physical Therapist CurrentSince Aug 1, 2017 Accepting new patients
Atlantic Physical Therapy Center CurrentSince May 23, 2022 Accepting new patients
Trinity Rehab Somerset PA CurrentSince Aug 1, 2017 Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

150 Chambers Bridge Rd
Ste 200
Brick, NJ 08723
Phone 7322195700 ext. 110

465 Cranbury Rd
Ste 103
East Brunswick, NJ 08816
Phone (732) 254-7085

3 Paragon Way
Ste 250
Freehold, NJ 07728
Phone (732) 431-2883

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1016 Highway 34
Ste 9
Matawan, NJ 07747
Phone (732) 583-0085

554 State Route 35
Red Bank, NJ 07701

328 Newman Springs Rd
Ste 10
Red Bank, NJ 07701

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787

175 Route 37 W
Toms River, NJ 08755
Phone (732) 281-8630

175 Route 37 W
#R
Toms River, NJ 08755

Organizations & group practices 5

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1982854733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 HIGHWAY 35",
            "address_2": "UNION SQUARE PLAZA OFFICE COMMONS",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015066",
            "telephone_number": "732-219-5700",
            "fax_number": "732-219-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 HIGHWAY 34",
            "address_2": "PINE CREST PLAZA, BLDG. 9",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473476",
            "telephone_number": "732-219-5700",
            "fax_number": "732-219-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMERANO",
        "first_name": "JERALYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00549100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.