Vincent Gengaro III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01434200 Issued in NJ

Practice address

600 Mount Pleasant Ave Ste F
Dover, NJ 07801-1621

Phone

(973) 366-4000

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Activecare Physical Therapy LLCGroup PAC ID 4082501572, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.15 of 100Reported as group

Quality

51.13

Improvement activities

40

Cost

65.67

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Activecare Physical Therapy LLC

  • Physical Therapist
  • Dover, NJ
  • NPI 1407898778
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1013282631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVE STE F",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011621",
            "telephone_number": "973-366-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVE STE F",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011621",
            "telephone_number": "973-366-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENGARO III",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01434200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Gottesman Freedman, M.D.
• Gangemi Chiropractic LLC
• Carmine Joseph Gangemi III, D.C.
• Gastroenterology Assoc. of North Jersey
• Gretel Marie Gautier-Rivera, RPH
• Paige Marie Gesicki, LCSW
• Neha S Ghogre, PHARMD
• Stacey Gilkes
• Elyse Giuffre, LCSW
• Susan Glaser

• Physical Therapist in Dover, NJ
• Providers in Dover, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.