Jeffrey Nicheporuck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02169800 Issued in NJ

Practice address

1900 Arena Dr
Hamilton, NJ 08610-2426

Phone

(609) 585-2333

Fax

(609) 585-6522

NPI assigned

Aug 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamilton Physical Therapy ServicesGroup PAC ID 0648206029, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hamilton Physical Therapy Services

  • Physical Therapist
  • Hamilton, NJ
  • NPI 1639182272
  Medicare reassignment Care Compare group NPD
• Hamilton Physical Therapy Services

  • Physical Therapist
  • Princeton, NJ
  • NPI 1215193180
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1336822873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ARENA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086102426",
            "telephone_number": "609-585-2333",
            "fax_number": "609-585-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ARENA DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086102426",
            "telephone_number": "609-585-2333",
            "fax_number": "609-585-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHEPORUCK",
        "first_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02169800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Group NJ LLC
• New Life Health Care Agency LLC
• New Life Health Care Agency LLC
• Next Level Physical Therapy
• Dilys Andinwo Ngu
• Nicole Kries Wyszynski LCSW
• Nighat Mirza MD PA
• NJ Anesthesia Services LLC
• NJ Certified Dermatology PC
• NJ Spine and Pain Center Inc

• Physical Therapist in Hamilton, NJ
• Providers in Hamilton, 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 Aug 10, 2023; 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.