Active NPI
Eric Robert Bresemann, PT
- Physical Therapist
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00706400
- Practice address
- 25 Prospect Ave
Hackensack, NJ 07601-1960 - Phone
- (201) 342-1404
- NPI assigned
- Apr 9, 2007
- Last updated
- Jul 8, 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 Therapist | 225100000X | 40QA00706400 | NJ | Primary |
Addresses
Primary practice location
25 Prospect Ave
Hackensack, NJ 07601-1960
Mailing address
4 Cherbourg Rd
Parsippany, NJ 07054-4008
Phone (973) 715-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Bergen Blvd
Suite 8
Fairview, NJ 07022-1300
Phone (201) 945-1156
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellent Homecare of NJ LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Medicine Center of Fairview, LLC | Physical Therapist | Current | Accepting new patients |
Locations
222 Bergen Blvd
Ste 8
Fairview, NJ 07022
Phone (201) 945-1156
40 Galesi Dr
Ste 5B
Wayne, NJ 07470
Phone (973) 837-8722
Organizations & group practices 2
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.
-
- Chiropractor
- Fairview, NJ
- NPI 1538038716
Physical Therapist
-
- Physical Therapist
- Wayne, NJ
- NPI 1427602549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205959855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CHERBOURG RD",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070544008",
"telephone_number": "973-715-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011960",
"telephone_number": "201-342-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESEMANN",
"first_name": "ERIC",
"middle_name": "ROBERT",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00706400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.