Active NPI
Nancy Buckholz
- Physical Therapist
- Westwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA00518500
- Practice address
- 24 Booker Street
Westwood, NJ 07675-2619 - Phone
- (201) 822-0100
- Fax
- (201) 822-0107
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA00518500 | NJ | Primary |
Addresses
Primary practice location
24 Booker Street
Westwood, NJ 07675-2619
Mailing address
24 Booker Street
Westwood, NJ 07675-2619
Phone (201) 822-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7549915 | Other | AETNA ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 2ND Ave
RM 302
New York, NY 10022-2021
Phone (212) 842-0080
222 Cedar LN
Suite 120
Teaneck, NJ 07666-4311
Phone 2018365332219
28 -32 Van Orden PL
Hackensack, NJ 07601-6011
Phone (201) 621-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA00518500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Hand and Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Alliance Hand and Physical Therapy, P.C. | Current | Accepting new patients | |
| Back to Health Physical Therapy Associates, P.a. | Physical Therapist | Current | Accepting new patients |
| Eastern Orthopedic Associates, MD PA | Current | Accepting new patients | |
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
15 Emerald St
Hackensack, NJ 07601
Phone (201) 489-5155
28-32 Van Orden Pl
Hackensack, NJ 07601
Phone (201) 621-0300
1060 Main St
Ste 302
River Edge, NJ 07661
Phone (201) 833-0234
222 Cedar Ln
Ste 120
Teaneck, NJ 07666
Phone (201) 836-5332
24 Booker St
Westwood, NJ 07675
Phone (201) 722-1227
3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080
1110 2nd Ave
Rm 302
New York, NY 10022
Phone (212) 842-0080
Interoperability endpoints
- https://orthoeast.mmi.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 5
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.
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NJ
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- Physical Therapist
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- NPI 1174712178
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- Customized Equipment (DME)
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- NPI 1851684195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1104841154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BOOKER STREET",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076752619",
"telephone_number": "201-822-0100",
"fax_number": "201-822-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 BOOKER STREET",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076752619",
"telephone_number": "201-822-0100",
"fax_number": "201-822-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKHOLZ",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA00518500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID #",
"identifier": "7549915",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.