Individual provider Active NPI

Margaret Ann Mizov

  • Physical Therapy Assistant
  • Bridgewater, NJ
National Provider Identifier
1295474757
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00048300 Issued in NJ
Practice address
479 Union Ave
Bridgewater, NJ 08807-3143
Phone
(908) 203-5200
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00048300 NJ Primary

Addresses

Primary practice location

479 Union Ave
Bridgewater, NJ 08807-3143

Mailing address

479 Union Ave
Bridgewater, NJ 08807-3143
Phone (908) 203-5200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QB00048300NJMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Benefit Physical Therapy CurrentSince Jun 5, 2022 Accepting new patients

Locations

479 Union Ave
Bridgewater, NJ 08807
Phone (908) 203-5200

Organizations & group practices 1

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1295474757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 UNION AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073143",
            "telephone_number": "908-203-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 UNION AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073143",
            "telephone_number": "908-203-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZOV",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00048300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.