Individual provider Active NPI

Bienvenido Cainoy Dy Jr., P.T.

  • Physical Therapist
  • Morganville, NJ
National Provider Identifier
1083895239
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
100 Campus Dr
Suite 102
Morganville, NJ 07751-1282
Phone
(732) 591-9494
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 NJ Primary

Addresses

Primary practice location

100 Campus Dr
Suite 102
Morganville, NJ 07751-1282

Mailing address

16 Woodruff Dr
Matawan, NJ 07747-9746
Phone (732) 566-3913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200722000025 NJ Practitioner - Physical Therapist in Private Practice 2264856400 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA0496200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Take Charge Rehab & Wellness, PC Physical Therapist CurrentSince Dec 25, 2020 Accepting new patients
Apex Home Therapy LLC Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients

Locations

100 Campus Dr
Ste 102
Morganville, NJ 07751
Phone (732) 591-9494

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1083895239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WOODRUFF DR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479746",
            "telephone_number": "732-566-3913",
            "fax_number": "732-566-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "address_2": "SUITE 102",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511282",
            "telephone_number": "732-591-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "BIENVENIDO",
        "middle_name": "CAINOY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.

Verify at the official NPI Registry.