Individual provider Active NPI

Raffaele Lagonigro, PT

  • Physical Therapist
  • Little Falls, NJ
National Provider Identifier
1285829853
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01253600 Issued in NJ
Practice address
44 Main St Ste 4
Little Falls, NJ 07424-1571
Phone
(973) 860-0550
NPI assigned
Sep 7, 2007
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 40QA01253600 NJ Primary

Addresses

Primary practice location

44 Main St Ste 4
Little Falls, NJ 07424-1571

Mailing address

PO Box 426
Caldwell, NJ 07006-0426
Phone (973) 814-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071001000626 NJ Practitioner - Physical Therapist in Private Practice 0941395396 Reassigns benefits to 1 organization
I20180731001761 NJ Practitioner - Physical Therapist in Private Practice 0941395396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 Main St
Suite 4
Little Falls, NJ 07424-1571

51 Pkwy
Little Falls, NJ 07424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Orthopedics LLC Physical Therapist CurrentSince Jun 9, 2018 Accepting new patients

Locations

1376 Pompton Ave
Cedar Grove, NJ 07009
Phone (201) 262-6060

44 Main St
Ste 4
Little Falls, NJ 07424
Phone (973) 860-0550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1285829853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070060426",
            "telephone_number": "973-814-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST STE 4",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241571",
            "telephone_number": "973-860-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGONIGRO",
        "first_name": "RAFFAELE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01253600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.