Safwat Ragheb Shenouda, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01030300 Issued in NJ

Practice address

202 Forest Glen Ave
Franklin Lakes, NJ 07417-2414

Phone

(201) 281-6137

NPI assigned

Apr 1, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Madison PT of New Jersey, PC

  • Physical Therapist
  • Westwood, NJ
  • NPI 1740369347

  Single Specialty

  NPD (past)
• Welllife Network Inc

  • Case Management Agency
  • Elmont, NY
  • NPI 1508012816
  NPD (past)
• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1033381843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FOREST GLEN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172414",
            "telephone_number": "201-281-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOREST GLEN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172414",
            "telephone_number": "201-281-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOUDA",
        "first_name": "SAFWAT",
        "middle_name": "RAGHEB",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01030300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Allen Schneider, PHD
• Lucie A Semerciyan
• Shazia Shadani, D.O
• Parichehr Sharifkashani, M.A.,L.P.C.,L.R.C.
• Mark Sheehan, DPM
• Ariella Maya Shlugleyt, PA-C
• James Siegel, PA-C
• Harjot Singh, PTA
• Meghan Cathleen Smith, MS, CCC-SLP, TSSLD
• Jennifer K Soares, PT, DPT, CHT

• Physical Therapist in Franklin Lakes, NJ
• Providers in Franklin Lakes, 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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.