Individual provider Active NPI

Silverio Joseph Bumanlag, DPT

  • Physical Therapist
  • Glen Rock, NJ
National Provider Identifier
1326566134
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01727000 Issued in NJ
Practice address
251 Rock Road
Suite 2C
Glen Rock, NJ 07452
Phone
(201) 445-0900
Fax
(201) 445-0919
NPI assigned
Aug 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 40QA01727000 NJ Primary

Addresses

Primary practice location

251 Rock Road
Suite 2C
Glen Rock, NJ 07452

Mailing address

251 Rock Rd Ste 2C
Glen Rock, NJ 07452-1797
Phone (201) 445-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171204002504 NJ Practitioner - Physical Therapist in Private Practice 2163789983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

251 Rock Rd
Suite 2
Glen Rock, NJ 07452-1745
Phone (201) 445-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Rock Physical Therapy and Sports Rehabilitation, Inc CurrentSince Sep 4, 2017 Accepting new patients

Locations

251 Rock Rd
Fl 2
Glen Rock, NJ 07452
Phone (201) 445-0900

251 Rock Rd
Ste 2C
Glen Rock, NJ 07452
Phone (201) 445-0900

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326566134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 ROCK RD STE 2C",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521797",
            "telephone_number": "201-445-0900",
            "fax_number": "201-445-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROCK ROAD",
            "address_2": "SUITE 2C",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "07452",
            "telephone_number": "201-445-0900",
            "fax_number": "201-445-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMANLAG",
        "first_name": "SILVERIO",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01727000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.