Individual provider Active NPI

Ephraim Tziyon Yablok, MS, PT, DPT

  • Physical Therapist
  • Clifton, NJ
National Provider Identifier
1306070834
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024326-1 Issued in NY
Practice address
95 Virginia Ave
Clifton, NJ 07012-1224
Phone
(973) 777-0833
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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 024326-1 NY Primary

Addresses

Primary practice location

95 Virginia Ave
Clifton, NJ 07012-1224

Mailing address

95 Virginia Ave
Clifton, NJ 07012-1224
Phone (973) 777-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000775 NJ Practitioner - Physical Therapist in Private Practice 4587848304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Move Physical Therapy LLCGroup PAC ID 5890138747, 2 clinicians

Practice addresses (Care Compare)

870 Palisade Ave
Suite 203
Teaneck, NJ 07666-3445
Phone (518) 469-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
024326-1NYMDHomeopath

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine and Rehabilitation Center PA Physical Therapist CurrentSince Feb 1, 2011 Accepting new patients
First Move Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

870 Palisade Ave
Ste 203
Teaneck, NJ 07666
Phone (201) 836-3867

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1306070834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 VIRGINIA AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121224",
            "telephone_number": "973-777-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 VIRGINIA AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121224",
            "telephone_number": "973-777-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABLOK",
        "first_name": "EPHRAIM",
        "middle_name": "TZIYON",
        "credential": "MS, PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024326-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.