Active NPI
Yakov Gendler, DPT
- Physical Therapist
- Fair Lawn, NJ
National Provider Identifier
1033681465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043872-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 043872 | NY | MD | Pharmacist |
| 40QA02049000 | NJ | MD | Physical Therapist |
| 043872-1 | NY | MD | Physical 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.
-
- Physical Therapy Clinic/Center
- Fair Lawn, NJ
- NPI 1720726144
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.