Marios Christodoulou, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01698400 Issued in NJ

Practice address

32 Washington St Ste 2a
Tenafly, NJ 07670-3220

Phone

(201) 565-6342

NPI assigned

Jan 18, 2019

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246

  Single Specialty

  Medicare reassignment NPD
• East Coast Spine Joint and Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1194904730

  Single Specialty

  Medicare reassignment NPD
• Branch Physical Therapy & Wellness PC

  • Physical Therapy Clinic/Center
  • Tenafly, NJ
  • NPI 1922665082
  NPD Authorized official
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD
• Liberty Physical Therapy PC

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1669768735

  Single Specialty

  NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1215401666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JACKSON ST APT 839",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306973",
            "telephone_number": "201-565-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WASHINGTON ST STE 2A",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703220",
            "telephone_number": "201-565-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTODOULOU",
        "first_name": "MARIOS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01698400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherwin K Cheng, DDS
• Alec B Chiu
• Jason CHI-Shin Chiu, MD
• Monette Choi
• Lynn Christensen, CLC, LCCE, CD
• Chung Psychotherapy LCSW LLC
• Jacob Hanbid Chung, MD
• Circathera Corp
• Craig Clary
• Gil Cnaani

• Physical Therapist in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.