LUIS ROSERO – Physical Therapist, NPI 1063846202

LUIS ROSERO is a healthcare provider. based in West orange, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 40QA01510700 (NJ). The NPI Number for LUIS ROSERO is 1063846202

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
LUIS ROSERO
NPI
1063846202
Phone
(973) 669-3500
Address
769 NORTHFIELD AVE
Enumeration Date
23 August 2013
Last Update Date
23 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736055111
Graduation Year
2013 (13 years ago)
PAC ID
3779727482
Group Practice PAC ID
9436324886
Professional Enrollment ID
I20130919000473
Address ID
NJ079272111CE197XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for LUIS ROSERO

  • 769 NORTHFIELD AVE

    SUITE 132

    WEST ORANGE, NJ 070521198

    Phone: (973) 669-3500

    Fax: (973) 669-3444

    Type: Location

  • 11 EAGLE ROCK AVE

    EAST HANOVER, NJ 079363167

    Phone: (973) 887-9000

    Fax: (973) 887-9118

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130919000473IPhysical Therapist In Private PracticeNJTBD
I20221223000530IPhysical Therapist In Private PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes98851$0
97140Therapy procedure using manual technique, each 15 minutes60941$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22121$0
97161Evaluation for physical therapy, typically 20 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 07052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436324886View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What NPI should I save for LUIS ROSERO?
Save NPI 1063846202 if you need a stable reference for LUIS ROSERO.
Is LUIS ROSERO's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LUIS ROSERO treat or focus on?
Patients typically see LUIS ROSERO under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place LUIS ROSERO?
The snapshot lists West Orange, New Jersey for LUIS ROSERO; download NPPES for the complete set.
What if West Orange, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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