Annette Marie Juskiewicz, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

40QA00531300

Practice address

18 Newark Pompton Turnpike
Riverdale, NJ 07457

Phone

(973) 616-4555

Fax

(973) 616-3430

NPI assigned

Jul 31, 2007

Sex

Female

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

• Mrs. Annette Marie Porch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Sports Medicine and PT

  • Physical Therapist
  • Riverdale, NJ
  • NPI 1528155561
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1164612685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEWARK POMPTON TURNPIKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-616-4555",
            "fax_number": "973-616-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NEWARK POMPTON TURNPIKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-616-4555",
            "fax_number": "973-616-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSKIEWICZ",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": "40QA00531300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "PORCH",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keiko Karen Hutchinson, D.M.D.
• Sookie Hwang, DDS
• Jeffrey Weiss MD PA
• Randi Marie Johansen, OPTICIAN
• Cory Johnston
• Kapra Medical Transportation LLC
• Prabjeet Kaur
• Kids Therapy Center
• Julie Kim, APN-C
• Michael Joseph Klejmont, PT, DPT

• Pediatric Physical Therapist in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.