Individual provider Active NPI

Maria Lobifaro, P.T.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1093943904
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015907-1 Issued in NY
Practice address
614 Yetman Ave
Staten Island, NY 10307-1826
Phone
(718) 605-1696
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 015907-1 NY Primary

Addresses

Primary practice location

614 Yetman Ave
Staten Island, NY 10307-1826

Mailing address

23 Main St Ste D1
Holmdel, NJ 07733-2136
Phone (800) 862-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200219002637 NJ Practitioner - Physical Therapist in Private Practice 5890122469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Holmdel, NJ 07733
Phone (917) 406-8432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015907-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vna Health Group of New Jersey, LLC CurrentSince Jan 5, 2020 Accepting new patients
Jam Rehabilitation LLC Physical Therapist CurrentSince May 7, 2020 Accepting new patients
Vna Health Group of New Jersey, LLC Current Accepting new patients

Locations

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

1433 Hooper Ave
Toms River, NJ 08753
Phone (732) 557-2055

Organizations & group practices 3

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1093943904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST STE D1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332136",
            "telephone_number": "800-862-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 YETMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071826",
            "telephone_number": "718-605-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBIFARO",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015907-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.