Individual provider Active NPI

Alexander S Kade, P.T.

  • Physical Therapist
  • Mountain Lakes, NJ
National Provider Identifier
1235220096
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01004800 Issued in NJ
Practice address
43 Old Bloomfield Ave
Mountain Lakes, NJ 07046-1429
Phone
(973) 402-1600
Fax
(973) 402-1770
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01004800 NJ Primary

Addresses

Primary practice location

43 Old Bloomfield Ave
Mountain Lakes, NJ 07046-1429

Mailing address

62 Red Stone Drive
Parsippany, NJ 07054
Phone (973) 885-5093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000398 NJ Practitioner - Physical Therapist in Private Practice 5597790147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 Pleasant Valley Way
Suite 206
West Orange, NJ 07052-2934
Phone (973) 400-8741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01004800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Wellness Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
United Speech Services, Inc. Past Accepting new patients
Absolute Medical Care, P.C. Past Accepting new patients
Sportscare of America, PC Physical Therapist PastSince Jan 10, 2007 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Medicine and Rehabilitation PC Past Accepting new patients

Locations

412 Pleasant Valley Way
Ste 206
West Orange, NJ 07052
Phone (201) 797-2050

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1235220096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 RED STONE DRIVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "973-885-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 OLD BLOOMFIELD AVE",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461429",
            "telephone_number": "973-402-1600",
            "fax_number": "973-402-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADE",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01004800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.

Verify at the official NPI Registry.