Individual provider Active NPI

Andrew Fermano

  • Physical Therapist
  • Closter, NJ
National Provider Identifier
1043176233
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02390400 Issued in NJ
Practice address
65 Union St
Closter, NJ 07624-1641
Phone
(201) 575-5459
NPI assigned
Dec 31, 2025
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02390400 NJ Primary

Addresses

Primary practice location

65 Union St
Closter, NJ 07624-1641

Mailing address

65 Union St
Closter, NJ 07624-1641
Phone (201) 575-5459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402004232 NJ Practitioner - Physical Therapist in Private Practice 5799260196 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maywood Physical Therapy LLCGroup PAC ID 9537472410, 8 clinicians
Paramus Physical Therapy and Rehabilitation LLCGroup PAC ID 3375911985, 6 clinicians
Bergenfield Physical Therapy and Rehab Center LLCGroup PAC ID 6709211394, 8 clinicians
Emerson Physical Therapy LLCGroup PAC ID 0941541908, 4 clinicians

Practice addresses (Care Compare)

119 E Passaic St
Maywood, NJ 07607-1342
Phone (201) 880-7787

12 N State RT
17 Suite 118
Paramus, NJ 07652-2644
Phone (201) 535-4145

253 S Washington Ave
Suite 1a
Bergenfield, NJ 07621-3739
Phone (201) 338-4053

45 Emerson PLZ E
Suite 102
Emerson, NJ 07630-1886
Phone (201) 477-8415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02390400NJMDPhysical Therapist

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1043176233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 UNION ST",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241641",
            "telephone_number": "201-575-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 UNION ST",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241641",
            "telephone_number": "201-575-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMANO",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02390400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.