Individual provider Active NPI

Steven F Danziger, PT

  • Orthopedic Physical Therapist
  • Bloomfield, NJ
National Provider Identifier
1275695504
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00155800 Issued in NJ
Practice address
1129 Broad St
Bloomfield Total Health Center
Bloomfield, NJ 07003-2918
Phone
(973) 338-3620
Fax
(973) 338-4849
NPI assigned
Dec 14, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA00155800 NJ Primary
Orthopedic Physical Therapist 2251X0800X 003864-1 NY

Addresses

Primary practice location

1129 Broad St
Bloomfield Total Health Center
Bloomfield, NJ 07003-2918

Mailing address

797 6TH Ave
River Edge, NJ 07661-1517
Phone (201) 265-2784

Other identifiers 1

IdentifierTypeStateIssuer
BS139OtherNJOXFORD HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003864-1NYMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1275695504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 6TH AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611517",
            "telephone_number": "201-265-2784",
            "fax_number": "201-599-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BROAD ST",
            "address_2": "BLOOMFIELD TOTAL HEALTH CENTER",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032918",
            "telephone_number": "973-338-3620",
            "fax_number": "973-338-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZIGER",
        "first_name": "STEVEN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00155800",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "003864-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "BS139",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.