Individual provider Active NPI

Gabriele Bandelli, DPT

  • Physical Therapist
  • Monroe, NJ
National Provider Identifier
1053080812
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02040700 Issued in NJ
Practice address
209 Applegarth Rd
Monroe, NJ 08831-3842
Phone
(732) 992-8200
Fax
(609) 642-6794
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 40QA02040700 NJ Primary

Addresses

Primary practice location

209 Applegarth Rd
Monroe, NJ 08831-3842

Mailing address

1500 Meeting House Rd
Sea Girt, NJ 08750-2220
Phone (732) 784-6545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923003823 NJ Practitioner - Physical Therapist in Private Practice 0749687333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activate Physical Therapy LLCGroup PAC ID 7315319001, 6 clinicians
Atlantic Physical Therapy CenterGroup PAC ID 8820168123, 117 clinicians

Practice addresses (Care Compare)

104 Route 37 E
Toms River, NJ 08753-6729
Phone (732) 908-2610

1930 Route 88
Brick, NJ 08724-3153
Phone (732) 965-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02040700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy Center CurrentSince Sep 7, 2021 Accepting new patients
Atlantic Physical Therapy Center Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Atlantic Physical Therapy Center Past Accepting new patients
Seashore Pediatric Therapy Center PC Past Accepting new patients

Locations

1930 Route 88
Ste 17
Brick, NJ 08724
Phone (732) 965-7900

1930 State Highway 88
Brick, NJ 08724
Phone (732) 840-0555

620 Ocean Ave
Long Branch, NJ 07740
Phone (732) 795-6770

1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800

1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 784-6545

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1053080812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MEETING HOUSE RD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502220",
            "telephone_number": "732-784-6545",
            "fax_number": "732-240-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 APPLEGARTH RD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088313842",
            "telephone_number": "732-992-8200",
            "fax_number": "609-642-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDELLI",
        "first_name": "GABRIELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02040700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.