NPIMap

Organization Active NPI

Way Rehab Services

  • Physical Therapy Clinic/Center
  • Bergenfield, NJ
National Provider Identifier
1396341871
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WAY REHAB SERVICES
Practice address
67 S Franklin Ave
Bergenfield, NJ 07621-2015
Phone
(201) 310-9785
NPI assigned
Dec 9, 2020
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joan D. TimbangNPI 1972688802
Title
Physical Therapist - Owner
Phone
(201) 310-9785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

67 S Franklin Ave
Bergenfield, NJ 07621-2015

Mailing address

67 S Franklin Ave
Bergenfield, NJ 07621-2015
Phone (201) 310-9785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107001888 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567875776 Receives reassigned benefits from 23 practitioners
Practice locations: Bergenfield, NJ

National Provider Directory

National Provider Directory
Tax ID family
Way Rehab Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1396341871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S FRANKLIN AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212015",
            "telephone_number": "201-310-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S FRANKLIN AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212015",
            "telephone_number": "201-310-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "TIMBANG",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST - OWNER",
        "authorized_official_telephone_number": "201-310-9785"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.