Mary Norey-Miceli, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01615100 Issued in NJ

Practice address

160 Overlook Ave Ste 1a
Hackensack, NJ 07601

Phone

(201) 645-4336

NPI assigned

Aug 5, 2015

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group NPD
• Evolve Physical Therapy

  • Physical Therapy Clinic/Center
  • Franklin LKS, NJ
  • NPI 1376066514
  Medicare reassignment NPD
• Alfonse A De Maria, DC

  • Chiropractor
  • Franklin Lakes, NJ
  • NPI 1023093358
  Medicare reassignment
• Asher C. Goldstein, MD.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hackensack, NJ
  • NPI 1790725661
  Medicare reassignment
• Ivyrehab Network Inc

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1861623753
  NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1356727937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HILLVIEW CT",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074803001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 OVERLOOK AVE STE 1A",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-645-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Martinsville Rd",
            "address_2": "Ste. 219",
            "address_purpose": "LOCATION",
            "city": "Basking Ridge",
            "state": "NJ",
            "postal_code": "079204700",
            "country_code": "US",
            "telephone_number": "908-758-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOREY-MICELI",
        "first_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01615100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Nolasco, DO
• Cesar V Nolasco, MD
• Edwin V Nolasco, MD
• Rachel Nordlicht
• Asmaa M. Norelden
• North Hudson Community Action Corporation
• North Jersey Ambulatory Surgery Center, LLC
• North Jersey Comprehensive Surgical Group LLC
• North Jersey Friendship House, Inc
• North Jersey Friendship House, Inc

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, 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 Sep 7, 2018; 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.