Individual provider Active NPI

Michael Joseph Habersaat, PT

  • Orthopedic Physical Therapist
  • Montclair, NJ
National Provider Identifier
1043776131
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA01845000 Issued in NJ
Practice address
1 Greenwood Ave
Montclair, NJ 07042-3649
Phone
(973) 746-2424
NPI assigned
Feb 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 40QA01845000 NJ
Orthopedic Physical Therapist 2251X0800X 40QA01845000 NJ Primary

Addresses

Primary practice location

1 Greenwood Ave
Montclair, NJ 07042-3649

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5688
Phone (732) 807-0877

Other practice location 1

795 Franklin Ave
Franklin Lakes, NJ 07417-1368
Phone (201) 639-6620

Other practice location 2

650 From Rd Ste 420
Paramus, NJ 07652-3551
Phone (201) 639-6620

Other practice location 3

50 Craig Rd
Montvale, NJ 07645-1709
Phone (201) 639-6620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307002351 NJ Practitioner - Physical Therapist in Private Practice 4385983485 Reassigns benefits to 3 organizations

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
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

650 From Rd
Paramus, NJ 07652-3517

650 From Rd
Paramus, NJ 07652-3551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01845000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 1, 2020 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Feb 18, 2019 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Nov 1, 2020 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Feb 18, 2019 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 12, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 12, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

795 Franklin Ave
Franklin Lks, NJ 07417
Phone (201) 639-6620

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

999 Route 73 N
Ste 401
Marlton, NJ 08053

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

50 Craig Rd
Montvale, NJ 07645
Phone (201) 639-6620

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

650 From Rd
Ste 420
Paramus, NJ 07652
Phone (201) 639-6620

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

576 Broadhollow Rd
Melville, NY 11747

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 8

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1043776131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENWOOD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423649",
            "telephone_number": "973-746-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074171368",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 From Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523551",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451709",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABERSAAT",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01845000",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01845000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.