Active NPI
Gerry Sip NG, PHYSICAL THERAPIST
- Physical Therapy Clinic/Center
- Dumont, NJ
National Provider Identifier
1205022191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Practice address
- 95 New York Ave
Dumont, NJ 07628-2409 - Phone
- (201) 385-4447
- NPI assigned
- Sep 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NJ | Primary |
Addresses
Primary practice location
95 New York Ave
Dumont, NJ 07628-2409
Mailing address
95 New York Ave
Dumont, NJ 07628-2409
Phone (201) 385-4447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA0735800 | NJ | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1205022191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 NEW YORK AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076282409",
"telephone_number": "201-385-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 NEW YORK AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076282409",
"telephone_number": "201-385-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "GERRY",
"middle_name": "SIP",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.