Active NPI
Nachum M Loss, P.T.
- Physical Therapist
- Englewood, NJ
National Provider Identifier
1346306792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA03806
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4555551 | Other | NH | AETNA |
| 0124401 | Other | NJ | ORTHONET |
| 1122525 | Other | NJ | UNITED HEALTHCARE |
| BS331 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| QA03806 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Manual Physical Therapy, PA | Current | 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.
-
- Physical Therapy Clinic/Center
- Englewood, NJ
- NPI 1013249770
-
- Physical Therapy Clinic/Center
- Palisades Park, NJ
- NPI 1992993729
Physical Therapist
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.