Individual provider Active NPI

Daniela M Simancas-Parejo, PT, DPT

  • Physical Therapist
  • Cliffside Park, NJ
National Provider Identifier
1073492112
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02366400 Issued in NJ
Practice address
532 Anderson Ave
Cliffside Park, NJ 07010-1721
Phone
(201) 357-6539
NPI assigned
Sep 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 40QA02366400 NJ Primary

Addresses

Primary practice location

532 Anderson Ave
Cliffside Park, NJ 07010-1721

Mailing address

236 E Johnson Ave
Bergenfield, NJ 07621-1852
Phone (347) 435-6899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124001461 NJ Practitioner - Physical Therapist in Private Practice 8921590340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

532 Anderson Ave
FL 1
Cliffside Park, NJ 07010-1721
Phone (201) 945-4075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02366400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Spine and Sports Rehabilitation Center Inc. Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

532 Anderson Ave
Fl 1
Cliffside Park, NJ 07010
Phone (201) 357-6539

532 Anderson Ave
Cliffside Pk, NJ 07010
Phone (201) 941-8550

Organizations & group practices 1

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1073492112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E JOHNSON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211852",
            "telephone_number": "347-435-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-357-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANCAS-PAREJO",
        "first_name": "DANIELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02366400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.