Active NPI
Paul Kochoa, P.T., D.P.T.
- Physical Therapist
- Randolph, NJ
National Provider Identifier
1376608968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QAO1402300
- Practice address
- 1572 Sussex Tpke Unit D
Randolph, NJ 07869-1822 - Phone
- (347) 746-9423
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 40QAO1402300 | NJ | Primary |
Addresses
Primary practice location
1572 Sussex Tpke Unit D
Randolph, NJ 07869-1822
Mailing address
300 Main St Ste 21
Madison, NJ 07940-2369
Phone (347) 746-9423
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://pteverywhere.com/PtE/s/par5 |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1572 Sussex Tpke
Unit D
Randolph, NJ 07869-1822
Phone (347) 746-9423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QAO1402300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Par 5 Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Metro Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Silverarc Apn | Current | Accepting new patients |
Locations
1572 Sussex Tpke
Unit D
Randolph, NJ 07869
Phone (347) 746-9423
800 E Gate Blvd
Garden City, NY 11530
Organizations & group practices 3
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
- Randolph, NJ
- NPI 1730720822
Physical Therapist
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1770814659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1376608968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MAIN ST STE 21",
"city": "MADISON",
"state": "NJ",
"postal_code": "079402369",
"telephone_number": "347-746-9423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1572 SUSSEX TPKE UNIT D",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078691822",
"telephone_number": "347-746-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHOA",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "P.T., D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QAO1402300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://pteverywhere.com/PtE/s/par5",
"affiliation": "N",
"endpointDescription": "EMR service",
"address_1": "1572 Sussex Tpke Unit D",
"city": "Randolph",
"state": "NJ",
"country_code": "US",
"postal_code": "078691822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Randolph, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.