Individual provider Active NPI

Joel Maietta, DPT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1992028393
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01347300 Issued in NJ
Practice address
600 Mule Rd Ste 1
Toms River, NJ 08757-6461
Phone
(732) 505-1300
Fax
(732) 505-1301
NPI assigned
Mar 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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 40QA01347300 NJ Primary

Addresses

Primary practice location

600 Mule Rd Ste 1
Toms River, NJ 08757-6461

Mailing address

67 Lacey Rd
Suites 8 -12
Whiting, NJ 08759-2912
Phone (732) 849-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000317 NJ Practitioner - Physical Therapist in Private Practice 4183753601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
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)

300 Princeton Hightstown Rd
Suite 201
East Windsor, NJ 08520-1411
Phone (609) 426-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 7, 2020 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 7, 2020 Accepting new patients

Locations

74 Brick Blvd
Ste 116
Brick, NJ 08723
Phone (732) 451-0010

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

51 S Main St
Neptune, NJ 07753
Phone (732) 443-3721

600 Mule Rd
Ste 1
Toms River, NJ 08757
Phone (732) 569-6556

19 Mule Rd
Toms River, NJ 08755
Phone (732) 240-1400

2045 State Route 35
Wall Township, NJ 07719
Phone (732) 282-9800

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 2

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": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1992028393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LACEY RD",
            "address_2": "SUITES 8 -12",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592912",
            "telephone_number": "732-849-0700",
            "fax_number": "732-849-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MULE RD STE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087576461",
            "telephone_number": "732-505-1300",
            "fax_number": "732-505-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIETTA",
        "first_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01347300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.