Yevgeny Katsnelson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA1159600 Issued in NJ

Practice address

15-01 Pollitt Dr Ste 3
Fair Lawn, NJ 07410-2769

Phone

(201) 468-0282

Fax

(201) 431-1101

NPI assigned

Sep 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Eugene Katsnelson Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Physical Therapy IncGroup PAC ID 2062799711, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Precision Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Fair Lawn, NJ
  • NPI 1285177378

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Mam Orthopaedics, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hackensack, NJ
  • NPI 1215248299
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1164515581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HALCO DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524625",
            "telephone_number": "201-468-0282",
            "fax_number": "201-431-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 POLLITT DR STE 3",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102769",
            "telephone_number": "201-468-0282",
            "fax_number": "201-431-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSNELSON",
        "first_name": "YEVGENY",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA1159600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENE",
            "last_name": "KATSNELSON",
            "prefix": "MR.",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beverly S Karas-Irwin, APN
• Alexander E Kasatkin, M.D.
• Jay Michael Kashkin, MD
• Faseeh Katel
• Joann Katsantonis, MS
• Marc Katz, BCBA, LBA
• Bradley S Kaufman, M.D.
• Aleksander Kavesh
• Katlyn Madeline Kayal, LAC
• Zakaria Kaykay, RPH

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Oct 17, 2018; 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.