Vincent C. Anderson, A.A.S.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00278500 Issued in NJ

Practice address

10 Parsonage Rd Ste 508
Edison, NJ 08837-2475

Phone

(732) 357-5642

NPI assigned

Aug 9, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Applied Science

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.

• New Jersey Community Resource Association

  • Community/Behavioral Health Agency
  • Bound Brook, NJ
  • NPI 1306783709
  NPD Authorized official

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1184903080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BETSY ROSS CT APT B",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052107",
            "telephone_number": "732-357-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 508",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372475",
            "telephone_number": "732-357-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VINCENT",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "A.A.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00278500",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "003507-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaw Amo Mensah
• Cecilia Amoateng
• Tigest Amsal
• Amy Waxman, D.M.D. PA
• Ritu Anand, M.D.
• Devan Andre, DMD
• Okechukwu P. Anene, MD
• Anesthesia Healthcare LLC
• Angel Home Care LLC
• Angelcare Home Services, LLC

• Physical Therapy Assistant in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.