Igor Katsnelson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA01366500 Issued in NJ

Practice address

100 Bauer Dr
Oakland, NJ 07436-3105

Phone

(201) 651-0121

Fax

(201) 651-0124

NPI assigned

Aug 18, 2010

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Chiropractic and Rehabilitation Center, LLCGroup PAC ID 7416023171, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Cornerstone Chiropractic & Rehabilitation Center, LLC

  • Chiropractor
  • Riverdale, NJ
  • NPI 1508065236

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Health & Fitness Professionals LLC

  • Sports Physical Therapist
  • Scotch Plains, NJ
  • NPI 1447628581
  Medicare reassignment NPD
• Carteret Comprehensive Medical Care,PC

  • Specialist
  • Edison, NJ
  • NPI 1528140563
  NPD
• Cornerstone Medical Procedures LLC

  • Medical Specialty Clinic/Center
  • Riverdale, NJ
  • NPI 1205509460
  NPD
• Mahwah Health Services, LLC

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1851445068
  NPD
• Carbon Health & Wellness, LLC

  • Rehabilitation Chiropractor
  • Waldwick, NJ
  • NPI 1932974847
  NPD (past)
• Mahwah Health Services

  • Physical Therapist
  • Mahwah, NJ
  • NPI 1629488127
  NPD (past)
• Menon Regenerative Institute LLC

  • Specialist
  • Millburn, NJ
  • NPI 1306317789
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1376858035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015914",
            "telephone_number": "201-488-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAUER DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363105",
            "telephone_number": "201-651-0121",
            "fax_number": "201-651-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSNELSON",
        "first_name": "IGOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01366500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Lynn Jones
• Roshan Joseph, D.C.
• Steven Juca, DPT
• Jerold Howard Kaminsky, D.C.
• Richard Steven Kampf, M.D.
• Marc Kesselhaut, M.D.
• Hyojin Kim
• Kevin Kim
• Kinetic Movement & Recovery LLC
• Elton E King

• Physical Therapist in Oakland, NJ
• Providers in Oakland, 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 Aug 18, 2010; 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.