John Jay Giannelli, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00288000 Issued in NJ

Practice address

2 North St Ste 1B
Waldwick, NJ 07463-1898

Phone

(201) 857-8685

NPI assigned

Sep 5, 2006

Last updated

May 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glen Rock Physical Therapy and Sports Rehabilitation, Inc

  dba Glen Rock Physical Therapy & Sports Rehabilitation

  • Physical Therapy Clinic/Center
  • Glen Rock, NJ
  • NPI 1831335694
  Medicare reassignment NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1043312325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 EVERGREEN RD",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461170",
            "telephone_number": "201-424-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTH ST STE 1B",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631898",
            "telephone_number": "201-857-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNELLI",
        "first_name": "JOHN",
        "middle_name": "JAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00408400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00288000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genius Gold Investments LLC (Established Homes)
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10413)
• Annamma George, NP
• Herbert Gerstein, M.D.
• Anthony Giannella, DPT
• Alfred Gigante, D.C.
• Jennifer Giunta
• Steven N Glickman, DDS
• Jessica Sara Gordon, PSYD, BCBA
• Andrew Daniel Granas, MD

• Physical Therapist in Waldwick, NJ
• Providers in Waldwick, 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 May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.