Individual provider Active NPI

Andrew J Yudd, PT, DPT

  • Physical Therapist
  • Chester, NJ
National Provider Identifier
1063009504
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01981000 Issued in NJ
Practice address
95 W Main St Ste 6
Chester, NJ 07930-2487
Phone
(908) 879-7364
Fax
(908) 879-7365
NPI assigned
Dec 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 40QA01981000 NJ Primary

Addresses

Primary practice location

95 W Main St Ste 6
Chester, NJ 07930-2487

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000143 NJ Practitioner - Physical Therapist in Private Practice 7214340397 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

8 Town Ctr Dr
Suite 1
Sparta, NJ 07871-1989
Phone (973) 726-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Physical Therapy Professional Corporation Physical Therapist CurrentSince Jul 26, 2021 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jan 3, 2021 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Jan 12, 2021 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jan 12, 2021 Accepting new patients
New Jersey Sport & Spine, Inc. PastSince Jan 3, 2021 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

95 W Main St
Ste 6
Chester, NJ 07930
Phone (908) 879-7364

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

45 Broad St
Elmer, NJ 08318
Phone (856) 358-6200

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

321 Changebridge Rd
Ste 103
Pine Brook, NJ 07058
Phone (973) 396-8585

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

8 Town Center Dr
Ste 1
Sparta, NJ 07871
Phone (973) 726-3800

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 7

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": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1063009504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W MAIN ST STE 6",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302487",
            "telephone_number": "908-879-7364",
            "fax_number": "908-879-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDD",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01981000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.