Organization Active NPI

Emerson Physical Therapy and Rehabilitation, PC

  • Clinic/Center
  • Teaneck, NJ
National Provider Identifier
1255595559
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
24900-1 Issued in NY
Legal business name
EMERSON PHYSICAL THERAPY AND REHABILITATION, PC
Practice address
453 Glenwood Ave
Teaneck, NJ 07666-6405
Phone
(201) 266-0414
Fax
(201) 266-0414
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Emerson M Mateo, PTNPI 1992755607
Title
President/ Owner
Phone
(201) 478-0394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 24900-1 NY Primary

Addresses

Primary practice location

453 Glenwood Ave
Teaneck, NJ 07666-6405

Mailing address

453 Glenwood Ave
Teaneck, NJ 07666-6405
Phone (201) 266-0414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1255595559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 GLENWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666405",
            "telephone_number": "201-266-0414",
            "fax_number": "201-266-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 GLENWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666405",
            "telephone_number": "201-266-0414",
            "fax_number": "201-266-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON PHYSICAL THERAPY AND REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MATEO",
        "authorized_official_first_name": "EMERSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "201-478-0394",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "24900-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.