Sanghyop An, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01893800 Issued in NJ

Practice address

158 Linwood PLZ Ste 219
Fort Lee, NJ 07024-3704

Phone

(201) 461-9333

Fax

(201) 461-0851

NPI assigned

Oct 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Equilibrium LLCGroup PAC ID 7315256906, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Equilibrium, LLC

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1710383419
  Medicare reassignment Care Compare group NPD
• Gradus Physiotherapy PT PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1265243398
  Medicare reassignment NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1255972915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 35TH ST APT A2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052240",
            "telephone_number": "718-316-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ STE 219",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243704",
            "telephone_number": "201-461-9333",
            "fax_number": "201-461-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "SANGHYOP",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043326",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01893800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Dee Amaya, SLP
• Luz Maria Amigo, M.A., CCC-SLP
• Patience Ampofo
• Emile Amzallag, D.D.S.
• NA Hea An, M.S., CCC-SLP
• Andrew M Rodgers (Fort Lee Chiropractic Associates)
• Andrew Nam, MD, Mba P.C. (Nam MD Pain and Spine)
• Andrew Razin, M.D., P.C.
• Ankle & Foot Podiatry Institute, PA (Fort Lee Podiatry, PA)
• Anna Shin DDS, Inc

• Physical Therapist in Fort Lee, NJ
• Providers in Fort Lee, 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 3, 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.