Individual provider Active NPI

Andrea Zuluaga, DPT

  • Physical Therapist
  • Fair Lawn, NJ
National Provider Identifier
1093329153
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01956000 Issued in NJ
Practice address
39-40 Broadway
Fair Lawn, NJ 07410-5419
Phone
(201) 791-7111
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 40QA01956000 NJ Primary

Addresses

Primary practice location

39-40 Broadway
Fair Lawn, NJ 07410-5419

Mailing address

915 87TH St
North Bergen, NJ 07047-5110
Phone (201) 401-8369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002002565 NJ Practitioner - Physical Therapist in Private Practice 6901225341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01956000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Physical Therapy PC Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients

Locations

39-40 Broadway
Ste 4
Fair Lawn, NJ 07410
Phone (201) 791-0008

39-40 Broadway
Fair Lawn, NJ 07410
Phone (201) 475-5006

218 Route 17 N
Ste 304
Rochelle Park, NJ 07662
Phone (201) 791-0008

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1093329153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 87TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475110",
            "telephone_number": "201-401-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-40 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105419",
            "telephone_number": "201-791-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULUAGA",
        "first_name": "ANDREA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01956000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.