Haider Rizvi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01330500 Issued in NJ

Practice address

3830 Park Ave
Suite 208
Edison, NJ 08820-2562

Phone

(732) 494-0895

Fax

(732) 494-0896

NPI assigned

Sep 4, 2009

Last updated

Dec 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Wellness One of South BergenGroup PAC ID 4486609625, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wellness One of South Bergen

  • Chiropractor
  • East Rutherford, NJ
  • NPI 1902858038
  Medicare reassignment Care Compare group
• Arrow Physical Therapy & Rehabilitation LLC

  • Physical Therapist
  • Edison, NJ
  • NPI 1972550671
  NPD (past)
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  NPD (past)

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1316170533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 PATERSON AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731837",
            "telephone_number": "201-933-3040",
            "fax_number": "201-933-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PARK AVE",
            "address_2": "SUITE 208",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202562",
            "telephone_number": "732-494-0895",
            "fax_number": "732-494-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "HAIDER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-04",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01330500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "40QA01330500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Rivera-O'Hara, PTA
• Jose Rivera
• Victoria Rivera, LSW
• Riverside Oral Surgery - Edison
• Riverside Oral Surgery - Edison-Clark
• Anthony Rizzo, LPC
• RN USA LLC
• RNJ Services, Inc (premier medical laboratory)
• Daniel Ilchoong Ro, MD
• Ashley Monique Roberson, PTA

• Physical Therapist in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.