Active NPI
Bernardo Paul Avenido Garcia, PT, DPT
- Physical Therapist
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01978700
- Practice address
- 185 NJ-17 S
Suite 101B
Paramus, NJ 07652 - Phone
- (201) 560-0711
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01978700 | NJ | Primary |
Addresses
Primary practice location
185 NJ-17 S
Suite 101B
Paramus, NJ 07652
Mailing address
16 Morton St
Jersey City, NJ 07304-1125
Phone (201) 855-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01978700 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Spine Joint and Sports Medicine | Current | Accepting new patients | |
| Kayal Medical Group, LLC | Physical Therapist | Current | Accepting new patients |
| Kayal Orthopaedic Center, P.C. | Current | Accepting new patients |
Locations
784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711
720 Monroe St
Ste C208
Hoboken, NJ 07030
Phone 20153392001005
129 Newark Ave
Jersey City, NJ 07302
Phone (201) 333-2223
185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711
Organizations & group practices 3
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.
-
dba The Spine and Sports Health Center
- Physical Medicine & Rehabilitation Physician
- Hoboken, NJ
- NPI 1194904730
-
dba Kayal Orthopaedic Center
- Orthopaedic Surgery Physician
- Franklin Lakes, NJ
- NPI 1528729159
Physical Therapist
-
- Orthopaedic Surgery Physician
- Franklin Lakes, NJ
- NPI 1427014083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1073118097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MORTON ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041125",
"telephone_number": "201-855-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 NJ-17 S",
"address_2": "SUITE 101B",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "201-560-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "BERNARDO PAUL",
"middle_name": "AVENIDO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2020-12-04",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01978700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.