Anna Kazmierczak, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

037396-1 Issued in NY

Practice address

16 Sherwood Rd
Upper Saddle River, NJ 07458-1634

Phone

(917) 859-6549

Fax

(201) 934-1241

NPI assigned

Jan 21, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skyline Physical Therapy LLCGroup PAC ID 1456686716, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Skyline Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wanaque, NJ
  • NPI 1780241851
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1063801595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SHERWOOD RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581634",
            "telephone_number": "917-859-6549",
            "fax_number": "201-934-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SHERWOOD RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581634",
            "telephone_number": "917-859-6549",
            "fax_number": "201-934-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIERCZAK",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01552500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037396-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irena Cycylia Janiec-Zito, APN
• Hans D Kalchbrenner, DC
• Ava Kaplan, LMSW
• Nicole Fallon Karmin
• Kavneet Kaur, M.D.
• Anna Kelly, LCSW, LCADC
• Moon Y. Kim, M.D.
• Howard Kliman, DPM
• Bonnie Krieger
• Raphael Kupferman, PT, DPT

• Physical Therapist in Upper Saddle River, NJ
• Providers in Upper Saddle River, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.