Paul R Nekich, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00219000 Issued in NJ

Practice address

644 Goffle Rd
Hawthorne, NJ 07506-3452

Phone

(973) 636-7000

NPI assigned

Apr 10, 2009

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1376786012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 RAVINE AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067612",
            "telephone_number": "973-287-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 GOFFLE RD",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063452",
            "telephone_number": "973-636-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKICH",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00219000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mesum Moosavi, MD
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• Daryl Murphy, PT
• Sarah Murray, M.A. CCC-SLP
• Sabiha Nasir, RPH
• Larry M Nelson, DPM
• Robyn L Neri, PT, DPT
• New Convictions Recovery
• New Horizons in Case Management, LLC
• New Jersey Community Development Corporation

• Physical Therapy Assistant in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.