Individual provider Active NPI

Marvin Paul Galarosa, PT

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1073664959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01006700 Issued in NJ
Practice address
283 Piaget Street
Clifton, NJ 07011
Phone
(973) 772-3930
Fax
(973) 772-1498
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA01006700 NJ Primary

Addresses

Primary practice location

283 Piaget Street
Clifton, NJ 07011

Mailing address

31 Spruce Court
# 120
Clifton, NJ 07014
Phone (973) 246-6325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000659 NJ Practitioner - Physical Therapist in Private Practice 9032202098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Physical Therapy PCGroup PAC ID 8527077338, 5 clinicians

Practice addresses (Care Compare)

218 Route 17 N
Suite 304
Rochelle Park, NJ 07662-3399
Phone (201) 791-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01006700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Physical Therapy PC Physical Therapist CurrentSince Feb 4, 2008 Accepting new patients
Physical Medicine and Rehabilitation Center PA Physical Therapist Past Accepting new patients

Locations

39-40 Broadway
Ste 4
Fair Lawn, NJ 07410
Phone (201) 791-0008

218 Route 17 N
Ste 304
Rochelle Park, NJ 07662
Phone (201) 791-0008

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073664959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SPRUCE COURT",
            "address_2": "# 120",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07014",
            "telephone_number": "973-246-6325",
            "fax_number": "973-772-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 PIAGET STREET",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-772-3930",
            "fax_number": "973-772-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAROSA",
        "first_name": "MARVIN",
        "middle_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01006700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.