Individual provider Active NPI

Namrata Rajderkar, PT

  • Physical Therapist
  • Oak Ridge, NJ
National Provider Identifier
1982949004
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01555000 Issued in NJ
Practice address
5758 Berkshire Valley Rd
Oak Ridge, NJ 07438-9847
Phone
(973) 697-3460
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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 032433 NY
Physical Therapist 225100000X 40QA01555000 NJ Primary

Addresses

Primary practice location

5758 Berkshire Valley Rd
Oak Ridge, NJ 07438-9847

Mailing address

11 Stafford Ter
Parsippany, NJ 07054-4035
Phone (201) 716-9628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200318000080 NJ Practitioner - Physical Therapist in Private Practice 6608021589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

446 Route 10
Unit 1
Whippany, NJ 07981-1514
Phone (862) 799-8380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032433NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Diego Ruiz DC LLC Physical Therapist CurrentSince May 18, 2022 Accepting new patients
Rutherford Allied Medical Group Physical Therapist CurrentSince Jan 28, 2020 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Opt Physical Therapy and Wellness LLC Physical Therapist CurrentSince Jan 28, 2020 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
R.G. Medical, PC Past Accepting new patients
Doctors United, Inc PastSince Oct 1, 1997 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

582 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-4601

5758 Berkshire Valley Rd
Oak Ridge, NJ 07438
Phone (973) 697-3460

Organizations & group practices 7

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1982949004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STAFFORD TER",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544035",
            "telephone_number": "201-716-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 BERKSHIRE VALLEY RD",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "074389847",
            "telephone_number": "973-697-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJDERKAR",
        "first_name": "NAMRATA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032433",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01555000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.