Active NPI
Andres Chacon
- Physical Therapist
- Lyndhurst, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01903000
- Practice address
- 70 Ridge Rd
Lyndhurst, NJ 07071-1216 - Phone
- (201) 933-9959
- Fax
- (201) 933-9958
- NPI assigned
- Feb 10, 2020
- 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 | 40QA01903000 | NJ | Primary |
Addresses
Primary practice location
70 Ridge Rd
Lyndhurst, NJ 07071-1216
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rothman Orthopaedics of New Jersey, LLC | Current | Accepting new patients | |
| Pro Staff Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| M&Ntherapyllc | Physical Therapist | Current | Accepting new patients |
Locations
935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590
206 Bergen Ave
Fl 2
Kearny, NJ 07032
Phone (551) 580-7881
70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775
999 Route 73 N
Ste 401
Marlton, NJ 08053
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
405 Northfield Ave
Ste Ll
West Orange, NJ 07052
Phone (973) 731-1950
576 Broadhollow Rd
Melville, NY 11747
Organizations & group practices 7
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
- Nutley, NJ
- NPI 1265750871
Physical Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
-
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1366074148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5859",
"fax_number": "631-396-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 RIDGE RD",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711216",
"telephone_number": "201-933-9959",
"fax_number": "201-933-9958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01903000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.