Individual provider Active NPI

Mohamed Nasser, PT

  • Physical Therapist
  • Westfield, NJ
National Provider Identifier
1114247699
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01103700 Issued in NJ
Practice address
918 South Ave W FL 1
Westfield, NJ 07090-1415
Phone
(855) 633-3786
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapist 225100000X 40QA01103700 NJ Primary

Addresses

Primary practice location

918 South Ave W FL 1
Westfield, NJ 07090-1415

Mailing address

918 South Ave W FL 1
Westfield, NJ 07090-1415
Phone (855) 633-3786

Other practice location 1

6 Bullman Ct
Clark, NJ 07066-1784
Phone (908) 419-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mohamed I Nasser Physical Therapy CurrentSince Jul 19, 2011 Accepting new patients

Locations

918 South Ave W
#1
Westfield, NJ 07090
Phone (855) 633-3786

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1114247699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SOUTH AVE W FL 1",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901415",
            "telephone_number": "855-633-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 SOUTH AVE W FL 1",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901415",
            "telephone_number": "855-633-3786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Bullman Ct",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661784",
            "country_code": "US",
            "telephone_number": "908-419-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSER",
        "first_name": "MOHAMED",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01103700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.