Individual provider Active NPI

Richie Kumar, PT, DPT

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1235787490
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01881400 Issued in NJ
Practice address
433 Hackensack Ave
Hackensack, NJ 07601-6319
Phone
(201) 880-5930
NPI assigned
Aug 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 40QA01881400 NJ Primary

Addresses

Primary practice location

433 Hackensack Ave
Hackensack, NJ 07601-6319

Mailing address

900 Route 9 N FL 4
Woodbridge, NJ 07095-1025
Phone (201) 801-7141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114000326 NJ Practitioner - Physical Therapist in Private Practice 8628400587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

433 Hackensack Ave
FL 2
Hackensack, NJ 07601-6316
Phone (201) 880-5930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01881400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Aug 29, 2018 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

50 Mount Prospect Ave
Ste 206
Clifton, NJ 07013
Phone (973) 547-9380

433 Hackensack Ave
Hackensack, NJ 07601
Phone (201) 527-6800

433 Hackensack Ave
Fl 2
Hackensack, NJ 07601
Phone (201) 343-1717

310 New Rd
Parsippany, NJ 07054
Phone (973) 396-8667

221 Rockingham Row
Princeton, NJ 08540
Phone (609) 580-1520

141 Route 46
Rockaway, NJ 07866
Phone (973) 983-5607

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

900 Route 9 N
Ste 410
Woodbridge, NJ 07095

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1235787490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 9 N FL 4",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951025",
            "telephone_number": "201-801-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HACKENSACK AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016319",
            "telephone_number": "201-880-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "RICHIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01881400",
            "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 Aug 30, 2019; 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.