Individual provider Active NPI

Eun-Jin Oh, PT

  • Physical Therapist
  • Norwood, NJ
National Provider Identifier
1346421732
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01537600 Issued in NJ
Practice address
4 Villa CT
Norwood, NJ 07648-1734
Phone
(201) 602-7745
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029465 NY
Physical Therapist 225100000X 40QA01537600 NJ Primary

Addresses

Primary practice location

4 Villa CT
Norwood, NJ 07648-1734

Mailing address

4 Villa CT
Norwood, NJ 07648-1734
Phone (201) 602-7745

Other practice location 1

463 Livingston St Ste 201
Norwood, NJ 07648-1344
Phone (914) 270-7651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140927000011 NJ Practitioner - Physical Therapist in Private Practice 9931280336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

460 Sylvan Ave
Suite 203
Englewood Cliffs, NJ 07632-2923
Phone (201) 602-7745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mediheal Wellness Center CurrentSince Jan 12, 2025 Accepting new patients
R.G. Medical, PC Past Accepting new patients
Doctors United, Inc PastSince Oct 1, 1997 Accepting new patients
Physical Medicine and Rehabilitation Center PA Physical Therapist Past Accepting new patients

Locations

463 Livingston St
Ste 201
Norwood, NJ 07648
Phone (201) 602-7745

Organizations & group practices 5

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1346421732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VILLA CT",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481734",
            "telephone_number": "201-602-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VILLA CT",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481734",
            "telephone_number": "201-602-7745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Livingston St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NJ",
            "postal_code": "076481344",
            "country_code": "US",
            "telephone_number": "914-270-7651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OH",
        "first_name": "EUN-JIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029465",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01537600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.