Individual provider Active NPI

Andrew Charles Fink, DPT, CSCS

  • Physical Therapist
  • Matawan, NJ
National Provider Identifier
1245746411
Registry record updated Dec 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01764900 Issued in NJ
Practice address
127 Main St
Matawan, NJ 07747-2621
Phone
(732) 970-4974
NPI assigned
Dec 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01764900 NJ Primary

Addresses

Primary practice location

127 Main St
Matawan, NJ 07747-2621

Mailing address

18 Schenck Ave
Matawan, NJ 07747-3332
Phone (908) 420-8596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208001867 NJ Practitioner - Physical Therapist in Private Practice 7517227739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mullaney and Associates Physical TherapyGroup PAC ID 3072529437, 5 clinicians

Practice addresses (Care Compare)

127 Main St
Suite E
Matawan, NJ 07747-2621
Phone (732) 970-4974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01764900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mullaney and Associates Physical Therapy Single Specialty CurrentSince Nov 15, 2017 Accepting new patients

Locations

127 Main St
Ste E
Matawan, NJ 07747
Phone (732) 970-4974

127 Main St
Matawan, NJ 07747
Phone (732) 970-4974

Organizations & group practices 1

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": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513987200000",
    "number": "1245746411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SCHENCK AVE",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473332",
            "telephone_number": "908-420-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472621",
            "telephone_number": "732-970-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "credential": "DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-23",
        "last_updated": "2017-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01764900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2017; 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.