Individual provider Active NPI

Yakov Gendler, DPT

  • Physical Therapist
  • Fair Lawn, NJ
National Provider Identifier
1033681465
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043872-1 Issued in NY
Practice address
7-04 Elaine Ter
Fair Lawn, NJ 07410-5710
Phone
(347) 409-5754
NPI assigned
Dec 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043872-1 NY Primary
Physical Therapist 225100000X 40QA02049000 NJ

Addresses

Primary practice location

7-04 Elaine Ter
Fair Lawn, NJ 07410-5710

Mailing address

7-04 Elaine Ter
Fair Lawn, NJ 07410-5710
Phone (347) 409-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220309001761 NJ Practitioner - Physical Therapist in Private Practice 7618362625 Reassigns benefits to 1 organization
Practice locations: Fair Lawn, NJ
I20260218002846 NY Practitioner - Physical Therapist in Private Practice 7618362625 Practice locations: Woodmere, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Physical Therapy and WellnessGroup PAC ID 8325420797, 4 clinicians

Practice addresses (Care Compare)

7 -04 Elaine Ter
Fair Lawn, NJ 07410-5710
Phone (347) 409-5754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043872NYMDPharmacist
40QA02049000NJMDPhysical Therapist
043872-1NYMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1033681465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7-04 ELAINE TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105710",
            "telephone_number": "347-409-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7-04 ELAINE TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105710",
            "telephone_number": "347-409-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDLER",
        "first_name": "YAKOV",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-25",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043872-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02049000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.