Individual provider Active NPI

Tzvi Wolkenfeld, DPT, BA, BS

  • Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1285402859
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02227100 Issued in NJ
Practice address
1530 Palisade Ave # 7024
Fort Lee, NJ 07024-5471
Phone
(201) 363-8880
NPI assigned
Dec 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02227100 NJ Primary

Addresses

Primary practice location

1530 Palisade Ave # 7024
Fort Lee, NJ 07024-5471

Mailing address

10 Woodward Ave
Clifton, NJ 07012-1227
Phone (862) 930-0658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240102000869 NJ Practitioner - Physical Therapist in Private Practice 7214387331 Reassigns benefits to 1 organization
I20240922000008 MD Practitioner - Physical Therapist in Private Practice 7214387331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1726 Reisterstown Rd
Pikesville, MD 21208-2974
Phone (443) 441-0670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
29991MDMDSocial Worker
40QA02227100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 10, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 10, 2024 Accepting new patients
Physical Medicine and Rehabilitation Center PA Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1726 Reisterstown Rd
Pikesville, MD 21208
Phone (443) 441-0670

500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760

1530 Palisade Ave
Fort Lee, NJ 07024
Phone (201) 363-8871

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tzvi.wolkenfeld.1@8042.direct.athenahealth.com

Organizations & group practices 4

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1285402859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODWARD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121227",
            "telephone_number": "862-930-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE # 7024",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245471",
            "telephone_number": "201-363-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKENFELD",
        "first_name": "TZVI",
        "credential": "DPT, BA, BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02227100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.