Individual provider Active NPI

Mark Szymczak, D.P.T.

  • Physical Therapist
  • Elmwood Park, NJ
National Provider Identifier
1043376692
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA008981 Issued in NJ
Practice address
9 Summit Ave
Elmwood Park, NJ 07407-1529
Phone
(201) 773-9700
Fax
(201) 773-9701
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 QA008981 NJ Primary

Addresses

Primary practice location

9 Summit Ave
Elmwood Park, NJ 07407-1529

Mailing address

140 Mallinson St
Allendale, NJ 07401-1918
Phone (201) 841-5555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL onpointwellness@optimum.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000562 NJ Practitioner - Physical Therapist in Private Practice 8325229909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Summit Ave
Elmwood Park, NJ 07407-1529
Phone (201) 773-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA008981NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On Point Wellness, L.L.C. CurrentSince Mar 19, 2023 Accepting new patients
Szymczak Rehabilitation LLC Physical Therapist CurrentSince Nov 1, 2014 Accepting new patients

Locations

241 Molnar Dr
Ste 203
Elmwood Park, NJ 07407
Phone (201) 703-3330

241 Molnar Dr
Elmwood Park, NJ 07407
Phone (973) 420-8836

9 Summit Ave
Elmwood Park, NJ 07407
Phone (201) 458-1080

Organizations & group practices 2

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1043376692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MALLINSON ST",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011918",
            "telephone_number": "201-841-5555",
            "fax_number": "201-773-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SUMMIT AVE",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071529",
            "telephone_number": "201-773-9700",
            "fax_number": "201-773-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMCZAK",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA008981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "onpointwellness@optimum.net",
            "affiliation": "N",
            "address_1": "9 Summit Ave",
            "city": "Elmwood Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074071529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.