Individual provider Active NPI

Joseph Massaro, PT, DPT

  • Physical Therapist
  • River Vale, NJ
National Provider Identifier
1083017792
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01580000 Issued in NJ
Practice address
645 Westwood Ave Ste 100
River Vale, NJ 07675-5300
Phone
(201) 666-9100
Fax
(201) 666-9100
NPI assigned
Oct 8, 2014
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 40QA01580000 NJ Primary

Addresses

Primary practice location

645 Westwood Ave Ste 100
River Vale, NJ 07675-5300

Mailing address

645 Westwood Ave
River Vale, NJ 07675-6295
Phone (201) 666-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141215001489 NJ Practitioner - Physical Therapist in Private Practice 0749502128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Valley Physical Therapy PAGroup PAC ID 5597769828, 4 clinicians

Practice addresses (Care Compare)

645 Westwood Ave
Suite 100
River Vale, NJ 07675-5300
Phone (201) 666-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01580000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Physical Therapy PA CurrentSince Oct 29, 2014 Accepting new patients

Locations

160 Paris Ave
Ste 2
Northvale, NJ 07647
Phone (201) 767-6700

645 Westwood Ave
Ste 100
River Vale, NJ 07675
Phone (201) 666-9100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1083017792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WESTWOOD AVE",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756295",
            "telephone_number": "201-666-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WESTWOOD AVE STE 100",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076755300",
            "telephone_number": "201-666-9100",
            "fax_number": "201-666-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01580000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Vale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.