Lauren E Defelice, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01364600 Issued in NJ

Practice address

611 N Maple Ave
Ho Ho Kus, NJ 07423-1668

Phone

(201) 447-1112

Fax

(201) 447-1180

NPI assigned

Aug 27, 2010

Sex

Female

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment Care Compare group NPD
• Precision Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Fair Lawn, NJ
  • NPI 1285177378

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1033425186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N MAPLE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231668",
            "telephone_number": "201-447-1112",
            "fax_number": "201-447-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N MAPLE AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231668",
            "telephone_number": "201-447-1112",
            "fax_number": "201-447-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01364600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Curtin, LCSW
• Leslie Marianne Deblasio, MA, LPC, LCADC
• Dylan Frank Decandia, PHARMD
• Frank Decandia, RPH
• Lynee A Decandia, RPH
• Mary Beth Delbalzo, CHT, LCSW
• Andrew Deraney, MBA
• Jana Devaney
• Sophia Dyakiv, D.D.S
• Andrew Eisen, PH.D.

• Physical Therapist in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, 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 Feb 23, 2016; 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.