Homer V Adalla

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01179100 Issued in NJ

Practice address

32 W 26TH St
FL 2
Bayonne, NJ 07002-5678

Phone

(973) 437-0795

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hva Physical Therapy PCGroup PAC ID 2163648056, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hva Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Bayonne, NJ
  • NPI 1982215893
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1154452985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TONNELE AVE",
            "address_2": "APT 3B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065518",
            "telephone_number": "973-437-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W 26TH ST",
            "address_2": "FL 2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025678",
            "telephone_number": "973-437-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADALLA",
        "first_name": "HOMER",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01179100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawaher Abuhammoud
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• Michael John Acanfora, DC
• Achacare Medical Rides
• Pankti Acharya, DO
• Keri Jappell Adamson, LSW
• Trina Adelung, MSW
• Lela Adeoshun, D.O.
• Nicole Adeyemi
• Admiral Van Lines

• Physical Therapist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.