Francis A Jadeszko III, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00374700 Issued in NJ

Practice address

315 Wootton Street
Units I and J
Boonton, NJ 07005

Phone

(973) 794-6040

NPI assigned

Jul 31, 2020

Last updated

Jul 31, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Four 3 Performance Laboratory Corp

  • Physical Therapy Clinic/Center
  • Boonton, NJ
  • NPI 1679936272
  NPD

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1205445624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WOOTTON STREET",
            "address_2": "UNITS I AND J",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-794-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WOOTTON STREET",
            "address_2": "UNITS I AND J",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-794-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADESZKO",
        "first_name": "FRANCIS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00374700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Hogoboom, MS, OTR/L
• Rebecca J Horan, LCSW
• Gabrielle Huresky
• Imago Dei Behavioral Health Incorporated
• Iraj Nejat, M.D. ,F.a.a.P.,P.a.
• Ali Hasan Jafary, MD
• Suman Lata Jalan, M.D.
• Jea Ava Maria LLC (Main Pharmacy)
• Jersey Integrative Spine & Sports, PC
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.

• Physical Therapy Assistant in Boonton, NJ
• Providers in Boonton, 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 Jul 31, 2020; 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.