Active NPI
Stephen Tawadros, P.T.
- Physical Therapist
- Hawthorne, NJ
National Provider Identifier
1083733208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01117600
- Practice address
- 623 Lafayette Ave Ste 101
Hawthorne, NJ 07506-2439 - Phone
- (201) 647-3669
- NPI assigned
- Mar 28, 2007
- 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 | 40QA01117600 | NJ | Primary |
Addresses
Primary practice location
623 Lafayette Ave Ste 101
Hawthorne, NJ 07506-2439
Mailing address
8 Woodland Rd
Montville, NJ 07045-9658
Phone (201) 647-3669
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 |
|---|---|---|---|
| 021648 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Health Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Active Motion Physical Therapy | Current | Accepting new patients | |
| Union Rehabilitation Center PC | Past | Accepting new patients | |
| Antonelli Chiropractic, P.C. | Past | Accepting new patients | |
| Comprehensive Orthopedic Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
623 Lafayette Ave
Ste 101
Hawthorne, NJ 07506
Phone (201) 647-3669
Organizations & group practices 5
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.
-
- Physical Therapist
- Rochelle Park, NJ
- NPI 1023547205
-
- Physical Therapy Clinic/Center
- Hawthorne, NJ
- NPI 1932712262
-
- Sports Physician Chiropractor
- Union, NJ
- NPI 1659456846
-
- Physical Therapy Clinic/Center
- Somerset, NJ
- NPI 1598707234
Physical Therapist
-
- Chiropractor
- Union, NJ
- NPI 1033294178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1083733208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WOODLAND RD",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459658",
"telephone_number": "201-647-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 LAFAYETTE AVE STE 101",
"city": "HAWTHORNE",
"state": "NJ",
"postal_code": "075062439",
"telephone_number": "201-647-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAWADROS",
"first_name": "STEPHEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01117600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NJ
- Soundview Clinical Associates, LLC
- Speller Consulting Services LLC
- Rosemarie Spinelli-Drenth, FNP-C
- Shelley C Steinberg, MSW, LCSW, LMFT
- Stride Home Health
- Shalini Tewary, DMD
- The Art of Listening Counselling Services LLC
- The Auve Center LLC
- The Heart-Lung Associates of America,PC
- The New Jersey Institute of Speech and Language Pathology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.