Individual provider Active NPI

Nachum M Loss, P.T.

  • Physical Therapist
  • Englewood, NJ
National Provider Identifier
1346306792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA03806 Issued in NJ
Practice address
66 N Van Brunt St
Englewood, NJ 07631-2703
Phone
(201) 568-2044
Fax
(201) 568-7455
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 QA03806 NJ Primary

Addresses

Primary practice location

66 N Van Brunt St
Englewood, NJ 07631-2703

Mailing address

76 Heatherhill Rd
Cresskill, NJ 07626-1021
Phone (201) 871-7133

Other identifiers 4

IdentifierTypeStateIssuer
4555551OtherNHAETNA
0124401OtherNJORTHONET
1122525OtherNJUNITED HEALTHCARE
BS331OtherNJOXFORD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000045 NJ Practitioner - Physical Therapist in Private Practice 0446308647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

61 Grand Ave
Suite 5 1
Englewood, NJ 07631-3572
Phone (201) 568-2044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA03806NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Manual Physical Therapy, PA CurrentSince Dec 15, 2008 Accepting new patients
Palpark Physical Therapy Physical Therapist Past Accepting new patients

Locations

61 Grand Ave
#51
Englewood, NJ 07631
Phone (201) 568-2044

61 Grand Ave
Ste 51
Englewood, NJ 07631
Phone (201) 568-2044

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346306792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HEATHERHILL RD",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261021",
            "telephone_number": "201-871-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312703",
            "telephone_number": "201-568-2044",
            "fax_number": "201-568-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSS",
        "first_name": "NACHUM",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA03806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4555551",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0124401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1122525",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BS331",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.