Active NPI
James C Bonardi, MPT
- Physical Therapist
- Lodi, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01022800
- Practice address
- 1 S Main St
Suite One
Lodi, NJ 07644-2240 - Phone
- (973) 405-6464
- Fax
- (973) 405-6846
- NPI assigned
- May 24, 2006
- Last updated
- Sep 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01022800 | NJ | Primary |
Addresses
Primary practice location
1 S Main St
Suite One
Lodi, NJ 07644-2240
Mailing address
180 Corabelle Ave
Suite One
Lodi, NJ 07644-1706
Phone (973) 405-6464
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Greenbrook Rd
Fairfield, NJ 07004-3890
Phone (973) 403-9911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Wellness and Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Rehabilitation Institute of North Jersey | Past | Accepting new patients | |
| Rinj, PA | Physical Therapist | Past | Accepting new patients |
Locations
25 Greenbrook Rd
Fairfield, NJ 07004
Phone (973) 403-9111
Organizations & group practices 3
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.
-
- Chiropractor
- Fairfield, NJ
- NPI 1215206669
Physical Therapist
-
dba Dr Robert A Siconolfi, INC
- Specialist
- Lodi, NJ
- NPI 1316174238
-
dba Rehabilitation Institute of North Jersey
- Chiropractor
- Lodi, NJ
- NPI 1912271230
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253577600000",
"number": "1023063120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 CORABELLE AVE",
"address_2": "SUITE ONE",
"city": "LODI",
"state": "NJ",
"postal_code": "076441706",
"telephone_number": "973-405-6464",
"fax_number": "973-405-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S MAIN ST",
"address_2": "SUITE ONE",
"city": "LODI",
"state": "NJ",
"postal_code": "076442240",
"telephone_number": "973-405-6464",
"fax_number": "973-405-6846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONARDI",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2009-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01022800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.