Active NPI
Stephen Newman, LPT
- Physical Therapy Clinic/Center
- Mahwah, NJ
National Provider Identifier
1326246463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 40QA00499000
- Practice address
- 860 Wyckoff Ave
A1A
Mahwah, NJ 07430-3186 - Phone
- (201) 891-9008
- Fax
- (201) 891-9195
- NPI assigned
- Jul 10, 2007
- Last updated
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 40QA00499000 | NJ | Primary |
Addresses
Primary practice location
860 Wyckoff Ave
A1A
Mahwah, NJ 07430-3186
Mailing address
860 Wyckoff Ave
A1A
Mahwah, NJ 07430-3186
Phone (201) 891-9008
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00499000 | NJ | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyckoff Physical Therapy Center, PC | Physical Therapy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Mahwah, NJ
- NPI 1508064627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1326246463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 WYCKOFF AVE",
"address_2": "A1A",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074303186",
"telephone_number": "201-891-9008",
"fax_number": "201-891-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 WYCKOFF AVE",
"address_2": "A1A",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074303186",
"telephone_number": "201-891-9008",
"fax_number": "201-891-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "STEPHEN",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "40QA00499000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mahwah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.