NPIMap

Organization Active NPI

Don a Jannicelli, PT

Doing business as Bloomfield Inst Phy Therapy

  • Specialist
  • Bloomfield, NJ
National Provider Identifier
1316013378
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00135900 Issued in NJ
Legal business name
DON A JANNICELLI, PT
Doing business as
Bloomfield Inst Phy Therapy
Practice address
230 Broad St
Bloomfield, NJ 07003-2606
Phone
(973) 680-1971
Fax
(973) 680-4837
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mr. Cheryl C Frankoski
Title
Office Manager
Phone
(973) 680-1971

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 40QA00135900 NJ Primary
Physical Therapy Clinic/Center 261QP2000X 40QA00135900 NJ
Rehabilitation Clinic/Center 261QR0400X 40QA00135900 NJ

Addresses

Primary practice location

230 Broad St
Bloomfield, NJ 07003-2606

Mailing address

230 Broad St
Bloomfield, NJ 07003-2606
Phone (973) 680-1971

Other names 1

  • Bloomfield Inst Phy Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

230 Broad St
Bloomfield, NJ 07003
Phone (973) 680-1971

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1316013378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032606",
            "telephone_number": "973-680-1971",
            "fax_number": "973-680-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032606",
            "telephone_number": "973-680-1971",
            "fax_number": "973-680-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON A JANNICELLI, PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "FRANKOSKI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-680-1971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00135900",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00135900",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NJ",
            "license": "40QA00135900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Inst Phy Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.