Masciangelo Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MASCIANGELO PHYSICAL THERAPY LLC

Practice address

211 Broad St
Suite 102
Red Bank, NJ 07701

Phone

(732) 224-1280

Fax

(732) 224-1281

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Jacquelyn Nicole Hines

Title

Dr of P.T./Owner

Phone

(732) 224-1280

Specialties & licenses 2

Addresses

Other names 1

• Connectivity Therapy and Holistic Health Doing business as

Locations

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1073087946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROAD ST",
            "address_2": "SUITE 102",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-224-1280",
            "fax_number": "732-224-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROAD ST",
            "address_2": "SUITE 102",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-224-1280",
            "fax_number": "732-224-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASCIANGELO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DR OF P.T./OWNER",
        "authorized_official_telephone_number": "732-224-1280"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connectivity Therapy and Holistic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enza N Marucci
• John William Marx, DMD
• Mary Jo Alburtus Inc
• Joseph Anthony Marzano, M.D.
• Christina Marzelli, OD
• Mary Jane Elizabeth Maser, PHD, APRN, BC
• James R Masi, LCSW
• Nicole Maslanek, NP
• Edward S Maslansky, O.D.
• Susan Masluk, M.S.W.

• All providers in Red Bank, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.