Individual provider Active NPI

Joshua Leon Costagliola, DPT

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1063701845
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01388800 Issued in NJ
Practice address
294 State St
Hackensack, NJ 07601-5515
Phone
(201) 820-3730
NPI assigned
Apr 1, 2011
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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 40QA01388800 NJ Primary

Addresses

Primary practice location

294 State St
Hackensack, NJ 07601-5515

Mailing address

24 Booker St
Westwood, NJ 07675-2632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000331 NJ Practitioner - Physical Therapist in Private Practice 7113195504 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

524 Hamburg Turnpike
Wayne, NJ 07470-2036
Phone (973) 782-5528

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
94.89
Improvement activities
40
Cost
55.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01388800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Hand and Physical Therapy, P.C. Physical Therapist CurrentSince May 9, 2016 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 21, 2014 Accepting new patients
Varsha Pohuja LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Diego Ruiz DC LLC Physical Therapist CurrentSince Jul 12, 2016 Accepting new patients
Maximum Health Physical Therapy of Long Valley, PC Physical Therapist CurrentSince Mar 29, 2022 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 21, 2014 Accepting new patients
Maximum Health Physical Therapy LLC Physical Therapist CurrentSince Mar 29, 2022 Accepting new patients
Health and Motion Physical Therapy Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Alliance Hand and Physical Therapy, P.C. CurrentSince May 9, 2016 Accepting new patients
Kipnis Physical Therapy of Hackensack, LLC Physical Therapist Past Accepting new patients

Locations

197 US Highway 46
Budd Lake, NJ 07828
Phone (973) 347-0500

28-32 Van Orden Pl
Hackensack, NJ 07601
Phone (201) 621-0300

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

62 E Mill Rd
Ste A2
Long Valley, NJ 07853
Phone (908) 520-2377

357 Buckelew Ave
Monroe Twp, NJ 08831
Phone (732) 521-1194

582 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-4601

524 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 272-0030

24 Booker St
Westwood, NJ 07675
Phone (201) 722-1227

4175 Veterans Memorial Hwy
Ste 202
Ronkonkoma, NY 11779

Organizations & group practices 10

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1063701845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BOOKER ST",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 STATE ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015515",
            "telephone_number": "201-820-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAGLIOLA",
        "first_name": "JOSHUA",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01388800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.