Individual provider Active NPI

Nagyla Obien, DPT

  • Physical Therapist
  • Bergenfield, NJ
National Provider Identifier
1093401507
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02156400 Issued in NJ
Practice address
253 S Washington Ave
Bergenfield, NJ 07621-3739
Phone
(201) 338-4053
NPI assigned
Apr 17, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 40QA02156400 NJ Primary

Addresses

Primary practice location

253 S Washington Ave
Bergenfield, NJ 07621-3739

Mailing address

19 Banta PL
Bergenfield, NJ 07621-1103
Phone (201) 450-2162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125000179 NJ Practitioner - Physical Therapist in Private Practice 5294188306 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

266 Harristown Rd
Suite 304
Glen Rock, NJ 07452-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paramus Physical Therapy and Rehabilitation LLC CurrentSince Sep 30, 2023 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Physical Therapist CurrentSince Sep 30, 2023 Accepting new patients
Bergenfield Physical Therapy & Rehab Center LLC Physical Therapist CurrentSince Sep 30, 2023 Accepting new patients
Maywood Physical Therapy LLC CurrentSince Sep 30, 2023 Accepting new patients
Emerson Physical Therapy LLC CurrentSince Sep 30, 2023 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Town Chiropractor Paramus LLC Physical Therapist PastSince Sep 30, 2023 Accepting new patients

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

54 S Dean St
Englewood, NJ 07631
Phone (201) 871-4000

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

119 E Passaic St
Maywood, NJ 07607
Phone (201) 880-7787

12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145

Organizations & group practices 7

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1093401507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BANTA PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211103",
            "telephone_number": "201-450-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213739",
            "telephone_number": "201-338-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBIEN",
        "first_name": "NAGYLA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02156400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.

Verify at the official NPI Registry.