Active NPI
Namrata Rajderkar, PT
- Physical Therapist
- Oak Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01555000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 032433 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diego Ruiz DC LLC | Physical Therapist | Current | Accepting new patients |
| Rutherford Allied Medical Group | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Opt Physical Therapy and Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| R.G. Medical, PC | Past | Accepting new patients | |
| Doctors United, Inc | Past | 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.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Therapist
- Oak Ridge, NJ
- NPI 1659404457
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Rutherford, NJ
- NPI 1457545675
Physical Therapist
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1720007891
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.