Kipnis Physical Therapy of Hackensack, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KIPNIS PHYSICAL THERAPY OF HACKENSACK, LLC

Practice address

250 River St
Hackensack, NJ 07601-7514

Phone

(201) 820-3730

Fax

(201) 820-3731

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Ilena Kipnis

Title

Owner

Phone

(201) 319-0010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Leon Costagliola, DPT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1063701845
  NPD (past)

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1255576955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIVER ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017514",
            "telephone_number": "201-820-3730",
            "fax_number": "201-820-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVER ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017514",
            "telephone_number": "201-820-3730",
            "fax_number": "201-820-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPNIS PHYSICAL THERAPY OF HACKENSACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "KIPNIS",
        "authorized_official_first_name": "ILENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-319-0010"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Josephine Kimel, M.D.
• Yukiko Kimura, M.D.
• Devon King
• Mia King
• George Kipel, M.D.
• Yair David Kissin, MD
• Nadiya Kitcmanuk, PA
• Sarah Kleinman
• Jennifer Marie Kleven, M.D.
• Gary Kline, MD

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, 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 Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.