Phyllis Flancbaum, PT, LNHA

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

40QA003097 Issued in NJ

Practice address

100 Kinderkamack Rd
Emerson, NJ 07630-1828

Phone

(201) 265-3700

Fax

(201) 265-2700

NPI assigned

Jul 9, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1295047041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-20 DOROTHY ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104946",
            "telephone_number": "201-694-3851",
            "fax_number": "201-794-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINDERKAMACK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301828",
            "telephone_number": "201-265-3700",
            "fax_number": "201-265-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANCBAUM",
        "first_name": "PHYLLIS",
        "credential": "PT, LNHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "40QA003097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Esformes, M.D.
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• Clarissa Fay, APN,C
• Stuart I. Finkel, MD
• Joseph D. Fishkin, M.D.
• Susan Flanzman, MD
• Joseph S Fleischer, MD
• Christian Francisco, OTR/L
• Frank M.Candido,M.D., P.a.
• Tara L Fricke, PHARM.D., RPH

• Geriatric Physical Therapist in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Geriatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.