Active NPI
Paul E Palestis, P.T. O.C.S.
- Orthopedic Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 019075-1
- Practice address
- 1727 Broadway
2ND Floor
New York, NY 10019-5214 - Phone
- (212) 765-4800
- Fax
- (212) 765-4855
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 019075-1 | NY | Primary |
Addresses
Primary practice location
1727 Broadway
2ND Floor
New York, NY 10019-5214
Mailing address
1015 Saw Mill River Rd
Ardsley, NY 10502-1118
Phone (914) 400-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 N Ave E
Cranford, NJ 07016-2491
Phone (908) 276-0237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019075-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network, Inc. | Orthopedic | Current | Accepting new patients |
| Ivyrehab Network Inc. | Orthopedic | Current | Accepting new patients |
Locations (25 of 49)
15 Newark Ave
Ste 101
Belleville, NJ 07109
1255 Broad St
Ste 207
Bloomfield, NJ 07003
Phone (973) 771-9500
243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630
70 Manheim Ave
Ste 3
Bridgeton, NJ 08302
Phone (856) 455-9700
1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000
95 W Main St
Ste 6
Chester, NJ 07930
Phone (908) 879-7364
95 W Main St
Ste 1
Chester, NJ 07930
Phone (908) 879-7364
2200 Wallace Blvd
Ste E
Cinnaminson, NJ 08077
Phone (856) 829-0015
1011 Clifton Ave
Clifton, NJ 07013
Phone (973) 471-8200
925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705
23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200
210 North Ave E
Cranford, NJ 07016
Phone (908) 272-6300
210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237
579 Cranbury Rd
Ste C
East Brunswick, NJ 08816
Phone (732) 432-0733
300 Princeton Hightstown Rd
Ste 201
East Windsor, NJ 08520
Phone (609) 426-4442
45 Broad St
Elmer, NJ 08318
Phone (856) 358-6200
15 Nathaniel Pl
Englewood, NJ 07631
Phone (201) 731-8580
187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
795 Franklin Ave
Ste 1
Franklin Lakes, NJ 07417
Phone (201) 847-8585
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
108 Bilby Rd
Ste 201
Hackettstown, NJ 07840
Phone (908) 684-5646
450 Amwell Rd
Ste 7
Hillsborough, NJ 08844
Phone (908) 359-3744
79 Hudson St
Ste 402
Hoboken, NJ 07030
Phone (201) 792-1170
254 Newark Ave
Jersey City, NJ 07302
Phone (551) 222-4396
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.
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1083744874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021118",
"telephone_number": "914-400-1500",
"fax_number": "914-400-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 BROADWAY",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195214",
"telephone_number": "212-765-4800",
"fax_number": "212-765-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALESTIS",
"first_name": "PAUL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "P.T. O.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "019075-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.