Individual provider Active NPI

Avishay Hayut, P.T.

  • Physical Therapist
  • Tenafly, NJ
National Provider Identifier
1083871461
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00416100 Issued in NJ
Practice address
29 Lawrence Pkwy
Tenafly, NJ 07670-2705
Phone
(201) 871-2406
Fax
(201) 871-2420
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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 40QA00416100 NJ Primary

Addresses

Primary practice location

29 Lawrence Pkwy
Tenafly, NJ 07670-2705

Mailing address

29 Lawrence Pkwy
Tenafly, NJ 07670-2705
Phone (201) 871-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Rehab Consultants, LLC Physical Therapist Past Accepting new patients

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1083871461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LAWRENCE PKWY",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702705",
            "telephone_number": "201-871-2406",
            "fax_number": "201-871-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LAWRENCE PKWY",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702705",
            "telephone_number": "201-871-2406",
            "fax_number": "201-871-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYUT",
        "first_name": "AVISHAY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00416100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.